Senior Health Plan Pricing Analyst

TriNet•Atlanta, GA

1d•Onsite

About The Position

TriNet is a leading provider of comprehensive human resources solutions for small to midsize businesses (SMBs). We enhance business productivity by enabling our clients to outsource their HR function to one strategic partner and allowing them to focus on operating and growing their core businesses. Our full-service HR solutions include features such as payroll processing, human capital consulting, employment law compliance and employee benefits, including health insurance, retirement plans and workers’ compensation insurance. TriNet has a nationwide presence and an experienced executive team. Our stock is publicly traded on the NYSE under the ticker symbol TNET. If you’re passionate about innovation and making an impact on the large SMB market, come join us as we power our clients’ business success with extraordinary HR. Don't meet every single requirement? Studies have shown that many potential applicants discourage themselves from applying to jobs unless they meet every single requirement. TriNet always strives to hire the most qualified candidate for a particular role, ensuring we deliver outstanding results for our small and medium-size customers. So, if you're excited about this role but your past experience doesn't align perfectly with every single qualification in the job description, nobody’s perfect – and we encourage you to apply. You may just be the right candidate for this or other roles. A Brief Overview 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
Exceptional knowledge of health plan pricing
Ability to interpret and analyze detailed medical plans and related documents
Experience with trend analysis, risk forecasting and claims evaluation
Ability to interact with Sales to explain medical pricing guidelines, requirements, etc.
Proficient in Microsoft Office Suite; specifically with Excel
Ability to use mathematical skills to solve problems
Demonstrates ability to exercise independent thinking and complete projects with little guidance
Ability to handle multiple tasks and prioritize projects

Nice To Haves

Bachelor's Degree or equivalent experience preferred
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
Conduct review of a prospect’s current medical offerings
Ensure compliance with all carrier partner requirements
Review complex cases such as self-funded groups and those over 100 employees
Actively collaborate with Sales colleagues
Assist is with reviewing and evaluating the output of the tools and resources TriNet uses
Assist in training of new colleagues and ongoing training of new colleagues
Other project and responsibilities may be added at the manager's discretion
Performs other duties as assigned
Complies with all policies and standards