Consultant - Health Insurance / HR

The City of Worcester is seeking a consultant to provide comprehensive health‑insurance advisory services for a one‑year period, covering plan analysis, vendor liaison, COBRA administration, data exchange with CVS Caremark, BCBS, and Harvard Pilgrim, and regular reporting on claims and finances. The consultant must be independent of any insurance carrier, possess extensive experience (10+ years) with large public‑sector health‑insurance programs, and be capable of handling both routine and ad‑hoc analytics, as well as attending meetings (including evenings). The award was made to Gallagher Benefit Services under a flat‑fee arrangement, with the possibility of two additional one‑year extensions. • Scope includes policy guidance, plan review, negotiations, claims reporting, COBRA, stop‑loss, PBM support, and software/data‑exchange compatibility. • Minimum qualifications: 10 years consulting experience, ≥5 clients with >2,000 enrollees, PBM expertise, and no conflicts of interest. • Contract term: approx. 15 Sept 2025 to 14 Sept 2026, with up to two optional one‑year renewals.