Health Plan Pricing Analyst

TriNet Group, Inc.; Hyderabad; On-site; INR 600,000 - 1,000,000; Full time

Job summary

TriNet in Hyderabad, India is seeking a Health Plan Pricing Analyst to ensure accurate medical pricing for prospects by reviewing census data and plan details using our pricing tools.

You will work independently with Sales to interpret documents, apply pricing logic, and contribute to process improvements, with an emphasis on accuracy and timely delivery. This position is 100% in office and based in India.

Qualifications

• Bachelor's Degree or equivalent experience required.
• Typically 2+ years of experience in pricing or analytics.
• Experience in insurance pricing preferred.

Responsibilities

• Work independently to review prospect census and medical plans to determine pricing based on risk.
• Evaluate documents using medical pricing tools and related resources.
• Communicate with Sales regarding Health Plan Pricing guidelines.
• Assist with evaluating outputs of pricing tools and propose improvements.
• Performs other duties as assigned and adheres to policies.

Skills

Interpret medical plans

Analyze documents

Mathematical problem solving

Independent thinking

Multi-tasking

Excel intermediate

Sales communication

Education

Bachelor's Degree or equivalent experience

Job description

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 Health Plan Pricing Analyst is responsible for ensuring the appropriate collateral is received and determining the appropriate medical rate is assigned for a prospect. Analysts use 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.

What you will do

• Work independently to conduct prospect census review including medical plans and rates, to determine the appropriate medical price based on the presented risk of the prospect
• Evaluate required documents using various tools including a medical pricing tool
• Communication with Sales collegues
• Assist with reviewing and evaluating output of the tools and resources TriNet uses and making suggestions for improvements on these tools and Health Plan Pricing process
• Performs other duties as assigned
• Complies with all policies and standards

Education Qualifications

• Bachelor's Degree or equivalent experience required

Experience Qualifications

• Typically 2+ years required
• Experience in insurance pricing preferred

Skills and Abilities

• Ability to interpret and analyze detailed medical plans and related documents
• Ability to solve problems using mathematical skills
• Possess independent thinking skills and complete projects with minimal guidance
• Ability to handle multiple tasks at once
• Proficient with Microsoft Office Suite with intermediate skills in Excel
• Ability to communicate with Sales personnel regarding Health Plan Pricing guidelines and requirements

Travel Requirements

Minimal

Work Environment

• Work in a clean, pleasant, and comfortable office work setting. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable persons with disabilities to perform the essential functions.
• This position is 100% in office.

TriNet reserves the right to change or modify job duties and assignments at any time. The above job description is not all encompassing. Position functions and qualifications may vary depending on business necessity.

TriNet is an Equal Opportunity Employer and does not discriminate against applicants based on race, religion, color, disability, medical condition, legally protected genetic information, national origin, gender, sexual orientation, marital status, gender identity or expression, sex (including pregnancy, childbirth or related medical conditions), age, veteran status or other legally protected characteristics. Any applicant with a mental or physical disability who requires an accommodation during the application process should contact [e-mail] to request such an accommodation.