Management Consultant Jobs in Tennessee.
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Director Population Health
About the job
The Population Health & Wellness Director is a senior-level, client-facing leader responsible for designing, implementing, and optimizing population health, wellness, and preventive care strategies for employer clients. This role partners closely with benefits consultants, carriers, vendors, and client leadership to improve employee health outcomes, enhance engagement, and drive measurable cost containment results.
This position blends strategic consulting, program design, data-driven insights, and vendor management, supporting The MJ Companies Employee Benefits Consulting value proposition as a trusted advisor in employee health and wellbeing.
Key Responsibilities
Population Health Strategy & Program Design
- Develop and lead comprehensive population health and wellbeing strategies aligned with clients’ benefits, workforce demographics, and business objectives
- Design multi-year population health roadmaps addressing preventive care, chronic condition management, mental health, wellbeing, and health equity
- Evaluate and recommend evidence-based wellness, disease management, digital health, and point-solution vendors
Client Consulting & Relationship Management
- Serve as a subject-matter expert for population health and wellness in client strategy meetings, renewals, finalist presentations, and plan design discussions
- Translate health data and population insights into actionable recommendations for HR, Finance, and executive stakeholders
- Partner with benefits consulting teams to integrate population health strategies into total rewards and benefits planning
Data Analytics & Outcomes Measurement
- Analyze population health data including medical and pharmacy claims, biometric results, risk assessments, and engagement metrics
- Define KPIs and success metrics to assess program effectiveness, ROI, and improvements in health outcomes
- Create client-facing dashboards, reports, and executive summaries to communicate results and trends
Vendor & Partner Management
- Manage relationships with wellness, digital health, and population health vendors, including contracting support, performance reviews, and outcomes evaluation
- Stay current on emerging population health trends, regulatory considerations, and best practices in employer-sponsored benefits
- Coordinate vendor implementations and ongoing optimization across diverse client populations
Internal Collaboration & Thought Leadership
- Collaborate with sales, account management, compliance, pharmacy and analytics teams to support prospecting and client retention efforts
- Develop population health content for marketing, thought leadership, and educational presentations
- Mentor, manage, and support the Population Health & Wellness team
Education
- Bachelor’s degree in Public Health, Health Administration, Nursing, Exercise Science, Health Promotion, or a related field required
- Master’s degree (MPH, MBA, MHA, or similar) preferred
- 8+ years of experience in population health, wellness consulting, healthcare analytics, or employee benefits
- Experience working within an employee benefits brokerage, consulting firm, health plan, or wellness vendor environment preferred
Certifications (Preferred)
- Certified Health Education Specialist (CHES)
- Certified Corporate Wellness Specialist (CCWS)
- Registered Nurse (RN) or other clinical credential
- Health & Productivity Management (HPM) certification
Knowledge & Experience
- Deep understanding of employer-sponsored health plans, population health management, and wellness program design
- Strong proficiency in interpreting medical and pharmacy claims data and translating insights into solutions
- Excellent presentation and executive communication skills
- Proven ability to influence without authority and partner with diverse stakeholders
- Project management skills with the ability to manage multiple client initiatives simultaneously
Technical Functions
- Population Health Data & Analytics- Interpret and analyze medical, pharmacy, and integrated claims data, evaluate trends, identify cost drivers and modifiable risk factors
- Population Health Program Architecture & Design- Design multi-year population health strategies and architect integrated solutions
- Vendor Evaluation, Selection & Performance Management- Conduct vetting of wellness, digital health, and population health vendors, lead vendor RFPs, monitor vendor performance
- Measurement, ROI & Outcomes Evaluation- Define and measure KPIs and success metrics for population health program
- Technology & Data Integration- Oversee data integration between claims data sources, wellness platforms, vendors and administration systems, support use of systems and data tools
- Clinical, Regulatory & Compliance Oversight- Ensure programs align with standards, regulations, and requirements
- Plan Design & Benefits Alignment- Align population health initiatives with plan design and strategies
- Client & Consultant Enablement - Equip benefits consultants with technical population health insights
Ready to apply?
Apply to The MJ Companies
Claims Consultant
OVERVIEW
We are The MJ Companies—a firm dedicated to inspiring the success, fulfillment, and wellbeing of each person we serve. Our commitment to excellence and collaboration has enabled us to maintain a best-in-class approach to risk management, employee benefits, and total rewards.
ESSENTIAL FUNCTIONS/RESPONSIBILITIES
+ Assist client with claim reporting by establishing best practices, collecting relevant information, analyzing potential coverage, and submitting on their behalf.
+ Provide ongoing consultation and monitoring of open complex claims. Support and guide clients through the carrier claim process. Act as an advocate for the best and most expedient resolution of claims.
+ Analyze policy language to determine all appropriate avenues to seek coverage. Conduct in-depth review of all coverage positions, challenging when appropriate.
+ Conduct formal client onboarding to assist in the development of processes for internal claim administration, facilitate and participate in claim reviews to communicate disposition strategies and financial developments, and provide ongoing proactive solutions to meet clients needs.
TECHNICAL FUNCTIONS
+ Proficient in the use of Microsoft Office Products: Excel, Word, Outlook
+ High level knowledge of property/casualty insurance including coverage forms, legal issues, and claim protocols.
REQUIRED EDUCATION/EXPERIENCE
+ Bachelor’s degree in business or related area; work equivalent
+ Property & Casualty license (or ability to obtain)
+ A minimum of 5-8 years experience in the insurance industry in a Claims or related position
+ Demonstrated skills: sense of urgency, detail-oriented, excellent organizational and time management skills
+Proven ability to work independently with minimal supervision as well as collaborate among the team daily and contribute to MJ’s culture.
+ Excellent verbal and written communication skills; professional presentation
Ready to apply?
Apply to The MJ Companies