Employee Benefit Consulting and Broker Services

The Vendor is required to provide employee benefit consulting and broker services for include:
1. Strategic and financial consulting
• Multi-year healthcare strategy development
• Long-term financial forecasting and budget modeling
• Claims trend analysis and predictive modeling
• Employee contribution modeling and affordability analysis
• IBNR and reserve analysis
• Renewal negotiations and market strategy development
2. Advanced analytics and reporting
• Access to sophisticated healthcare analytics platforms and dashboards
• Detailed claims utilization and cost driver reporting
• Benchmarking against public sector and regional henry county board of commissioners
• Identification of high-cost conditions and emerging risks
• Pharmacy trend and specialty drug analytics
• Ongoing executive and board-level reporting
3. Clinical and population health consulting
• Dedicated clinical consulting support
• Chronic condition management strategy recommendations
• Evaluation of disease management and care navigation programs
• Clinical claims analysis and utilization review
• Wellness and engagement strategy development
• Analysis of gaps in care and preventive care opportunities
• Evaluation of glp-1 and specialty pharmacy management strategies
4. Pharmacy consulting
• PBM procurement and contract negotiations
• Rebate analysis and audit support
• Formulary disruption analysis
• Clinical management strategy recommendations
• Evaluation of specialty pharmacy management solutions
• Audit rights and transparency review
5. Ancillary and voluntary benefits consulting
• Dental and vision plan procurement and benchmarking
• Life and disability plan strategy and market analysis
• Voluntary benefits strategy including accident, critical illness, hospital indemnity, cancer, and supplemental life plans
• Evaluation of employee participation and enrollment trends
• Vendor integration and administration review
• Employee communication and education strategies for voluntary programs
• Market competitiveness analysis for ancillary offerings
• Recommendations regarding benefit gaps and employee experience enhancements
• Coordination of ancillary benefit implementation and enrollment support
6. Public sector support
• Experience supporting public sector procurement processes
• Board and committee presentation support
• Assistance developing employee communication strategies
• Support during labor and governance discussions
• Public sector benchmarking and best practice recommendations.