Remote Utilization Management Jobs in Brandon, FL

Working under the direction of the Senior Manager, the Senior Analyst manages a portfolio of clients with complex benefit structures, including group medical, dental, vision, pharmacy, life, and disability programs. This individual plays a key role in leading renewal analyses, RFP processes, and carrier evaluations, while partnering closely with Senior Benefit Consultants, Client Services, and external vendors.

In addition to technical execution, the Senior Analyst contributes to clientfacing strategy discussions, presents findings to client leadership, and provides mentorship and guidance to Analysts. Success in this role requires advanced analytical capability, strong communication skills, and the ability to translate complex financial and claims data into meaningful insights that drive effective, compliant, and sustainable benefit decisions.

• Lead complex renewal analyses across all lines of coverage, including nonmarketed and negotiated plans.
• Evaluate claims experience, utilization trends, and financial performance to identify risks, opportunities, and cost drivers.
• Develop strategic, datadriven recommendations that support longterm benefits planning and funding strategies.

• Lead the development and execution of Request for Proposal (RFP) processes for assigned clients.
• Analyze and compare carrier proposals, identifying competitive positioning and financial impact.
• Support and actively participate in carrier negotiations in partnership with the Benefits Consultant.

• Develop and deliver advanced financial and management reporting (scheduled and ad hoc).
• Present renewal analyses, performance results, and recommendations to client staff, committees, and leadership groups.
• Translate complex financial and healthcare data into clear, concise, and clientfocused insights.

• Partner with the Benefits Consultants in the strategic planning and design of client benefit programs.
• Act as a key analytical resource for assigned clients, supporting ongoing decisionmaking and plan optimization.
• Contribute to the evaluation and recommendation of new services, vendors, or program enhancements.

• Review and interpret compliance requirements including 112.08 filings, OPEB reporting, and imputed income analysis.
• Ensure analyses incorporate applicable regulatory and legislative considerations (e.g., ACA, COBRA, healthcare reform).
• Support due diligence, compliance reviews, and regulatory reporting requirements.

• Create financial reports for all funding arrangements, including fully insured and selffunded plans.

• Provide guidance and mentorship to Analysts on financial modeling, reporting standards, and analytical techniques.
• Review work for accuracy, consistency, and quality prior to client delivery.
• Support onboarding and training of new analytical team members.

• Collaborate with Client Services, Consultants, carriers, and vendors to ensure aligned execution and client outcomes.
• Support issue resolution related to data, reporting, and financial analysis.
• Contribute to process improvements, standardization efforts, and analytical best practices.

Successful Candidates Will Have:

• Bachelor's degree in Finance, Accounting, Mathematics, Economics, Business Administration, Public Health, or a related field.
• 5+ years of experience in employee benefits, analytics, brokerage, or consulting.
• Advanced experience with:
  • Renewal and financial analysis
  • Claims and utilization reporting
  • RFP development and carrier evaluations
• Strong knowledge of:
  • Fully insured and selffunded benefit plans
  • Employee benefits regulations (ACA, COBRA, etc.)
• Public sector experience preferred
• Active State issued 2-15 License

• Advanced analytical and financial modeling capabilities
• Ability to translate complex data into strategic insights and recommendations
• Strong presentation and clientfacing communication skills
• High attention to detail and commitment to data accuracy
• Ability to independently manage priorities and deadlines
• Strong problemsolving and critical thinking skills
• Ability to mentor and develop junior team members
• Advanced Excel proficiency and experience with large datasets
• Ability to collaborate effectively across teams and functions

Pay Range:

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.

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