- Where
- Metairie, LA · Meridian, MS · Nashville, TN · Coral Gables, FL · Columbia, SC · Greensboro, NC · Myrtle Beach, SC · Greenville, SC · Tampa, FL · North Charleston, SC · Marietta, GA · Gainesville, FL · Mobile, AL · Birmingham, AL · Raleigh, NC · Lake Charles, LA · Winter Park, FL · Tallahassee, FL · Oxford, MS · Ridgeland, MS · Covington, LA · Charlotte, NC
- Level
- Mid · 2+ years
A path for every ambition.
At HUB, we believe the best work happens when people are given real space to grow and then given the autonomy to exercise it. We power progress and protect ambition: for the clients who count on us, and equally for the people who make that possible every day.
We’re creative thinkers and determined doers, guided by values that show up in how we work together: with empathy, adaptability, accountability and a genuine commitment to one another’s success. We foster bold ideas, celebrate curiosity and share what we know. Because when people grow, the work they do grows with them.
Our purpose is deeply human: to help people navigate the world on their terms, at their speed, toward their future. We hold that same commitment to the people building careers here.
Whether you’re starting out or leveling up, you’ll find the resources to evolve, the support to take on more and a team ready to back you at every stage.
Your ambition has a home here.
A path for every ambition.
At HUB, we believe the best work happens when people are given real space to grow and then given the autonomy to exercise it. We power progress and protect ambition: for the clients who count on us, and equally for the people who make that possible every day.
We’re creative thinkers and determined doers, guided by values that show up in how we work together: with empathy, adaptability, accountability and a genuine commitment to one another’s success. We foster bold ideas, celebrate curiosity and share what we know. Because when people grow, the work they do grows with them.
Our purpose is deeply human: to help people navigate the world on their terms, at their speed, toward their future. We hold that same commitment to the people building careers here.
Whether you’re starting out or leveling up, you’ll find the resources to evolve, the support to take on more and a team ready to back you at every stage.
Your ambition has a home here.
Summary:
The Clinical Consultant brings a clinical perspective to employee benefits consulting. Working alongside account teams and other internal specialty partners, the clinical consultant leverages their specialized knowledge base while reviewing claims and utilization data to identify patterns in health trends, large claimant treatments, quality of care, population health and cost. Ultimately translating clinical findings and observations into clear, actionable insight that supports client strategy and decision-making.
Essential duties and responsibilities:
· Reviews and interprets medical and pharmacy claims data, applying clinical knowledge of disease states, treatment protocols, and pharmacology to identify utilization patterns, cost drivers, and gaps in care.
· Learns and adapts to new reporting and technology tools as needed to support client deliverables.
· Provides condition interpretation and risk education, explaining how identified conditions may affect plan risk and cost trajectory, grounded in standards of care and medical necessity.
· Reviews clinical risk factors and treatment patterns among large or complex claimants, identifying key cost and risk drivers that support account team discussion.
· Identifies utilization patterns behind emergency room visits, hospital admissions, and specialty drug or site-of-care opportunities, distinguishing clinically necessary care from avoidable utilization.
· Shares clinical interpretation with the account team and other specialty partners to support broader population health and plan strategy discussions.
· Supports account team preparation for carrier conversations by identifying clinical patterns in carrier and vendor program data; may participate directly in carrier discussions as directed.
· Prepares clinical deliverables for routing to account team or presents directly on client calls as assigned.
· Maintains current knowledge of emerging treatment drug and site of care trends relevant to plan cost and…