Health Plan Pricing Analyst

TriNet; Hyderabad; On-site; INR 600,000 - 900,000; Full time

Job summary

TriNet is seeking a Health Plan Pricing Analyst to ensure collateral and determine medical rates for prospects. Analysts use specialized pricing tools and TriNet's carrier partners to evaluate submitted documents and census information to determine correct medical pricing based on risk.

You will work independently on census reviews, evaluate required documents, and communicate with Sales to support pricing guidelines and process improvements.

Qualifications

• Bachelor's degree or equivalent required.
• Typically 2+ years of insurance pricing experience.
• Proficient with MS Office and Excel.

Responsibilities

• Conduct prospect census review including medical plans and rates.
• Evaluate documents using a medical pricing tool.
• Communicate with Sales colleagues.
• Assist with tool outputs and pricing process improvements.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Medical pricing analysis

Analytical thinking

Communication with Sales

Project management

Education

Bachelor's Degree

Tools

Microsoft Office

Excel

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.

Please Note: 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.