Employee Benefits Clinical Consultant

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. 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 utilization through ongoing research, training, and professional development. Maintains strict compliance with applicable regulatory and compliance standards including HIPAA, PHI protections, state and federal regulations, company policies, and client confidentiality standards. Other duties as assigned. Qualifications: Education/Experience Bachelor's degree in a health-related field required; BSN active RN license preferred Associate-level Registered Nurse (RN) or Licensed Practical/Vocational Nurse (LPN/LVN) with an active license and relevant clinical experience will be considered in lieu of a bachelor's degree. Two (2) to five (5) years of direct patient care or clinical practice experience is required. Skills Proficient in Microsoft Office products (Excel, PowerPoint, Word, etc.). Strong written and verbal communication skills Strong organizational and time-management skills, with the ability to prioritize a varied workload and manage day-to-day responsibilities with minimal oversight. What We Offer You We invest in your growth. HUB offers structured training, licensing support and ongoing development opportunities designed to accelerate your career. Competitive pay with comprehensive health benefits, retirement savings matching and company-paid life and disability plans Generous paid time off, paid parental leave and a wellbeing program designed to support real work/life balance A collaborative, high-performing culture with meaningful engagement, community impact through HUB Gives and genuine room to grow your career Inserted bullet information here The HUB difference HUB International is one of North America’s largest insurance brokers, delivering risk management, insurance, employee benefits, retirement and wealth management solutions to businesses and individuals across the United States and Canada — through locally led teams backed by national expertise, giving you the agility of a local partner and the reach of a global organization. What We Offer You We invest in your growth. HUB offers structured training, licensing support and ongoing development opportunities designed to accelerate your career. Competitive pay with comprehensive health benefits, retirement savings matching and company-paid life and disability plans Generous paid time off, paid parental leave and a wellbeing program designed to support real work/life balance A collaborative, high-performing culture with meaningful engagement, community impact through HUB Gives and genuine room to grow your career The HUB difference HUB International is one of North America’s largest insurance brokers, delivering risk management, insurance, employee benefits, retirement and wealth management solutions to businesses and individuals across the United States and Canada — through locally led teams backed by national expertise, giving you the agility of a local partner and the reach of a global organization. Equal Employment Opportunity: HUB International Limited is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. Reasonable Accommodations: HUB International Limited is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. If you need a reasonable accommodation to access our career site, complete an application, or participate in any part of the hiring process, please contact the Recruiting Team at View email address on click.appcast.io. This contact information is for accommodation requests only and should not be used to inquire about the status of an application. E-Verify: HUB International Limited participates in E-Verify. Please refer to Our Recruiting Process | Applicant Notices: E-Verify Program for additional information. #J-18808-Ljbffr