Senior Health Plan Pricing Analyst
About The Position
The Senior Health Plan Pricing Analyst is responsible for multiple tasks within the department including ensuring the appropriate medical rate is assigned for a prospect. This role uses specialized tools developed by third party industry experts and TriNet's carrier partners to evaluate submitted documents and census information to determine the correct medical pricing for prospects based on the actual risk they present. In addition, their role is to assist the manager with the training of new colleagues as well as a primary liaison with carriers and the carrier pricing teams. This role will be an expert in the field of PEO health plan pricing having mastered the nuances of pricing and is a key contributor to the team. This position is part of the development process for grooming colleagues into the next level of leadership within the Insurance Services team and the Health Plan Pricing department.
Requirements
- Typically 5+ years in insurance pricing or underwriting required
- Ability to interpret and analyze detailed medical plans and related documents
- Ability to handle multiple tasks and prioritize projects
- Proficient in Microsoft Office Suite; specifically with Excel
- Exceptional knowledge of health plan pricing
- Ability to use mathematical skills to solve problems
- Demonstrates ability to exercise independent thinking and complete projects with little guidance
- Ability to interact with Sales to explain medical pricing guidelines, requirements, etc
Nice To Haves
- Salesforce.com knowledge is preferred
Responsibilities
- Work independently to determine an appropriate medical price based on the risk of the group using multiple tools such as the parity testing tool and medical pricing tool
- Conducts prospect census review and review of a prospects medical plans and rates to provide recommendations
- Actively collaborate with Sales colleagues
- Review complex cases such as self-funded group and those over 100 employees
- Assist in training of new colleagues and ongoing training of new colleagues
- Assist is with reviewing and evaluating the output of the tools and resources TriNet uses
- Other project and responsibilities may be added at the manager's discretion
- Performs other duties as assigned
- Complies with all policies and standards
Benefits
- medical
- dental
- vision plans
- life and disability insurance
- 401(K) savings plan
- employee stock purchase plan
- eleven (11) Company observed holidays
- PTO
- a comprehensive leave program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
