Senior Health Plan Pricing Analyst

Cocoon; Hyderabad; Sur place; INR 1 800 000 - 3 200 000; Plein temps

Résumé du poste

TriNet is seeking a Senior Health Plan Pricing Analyst to determine the correct medical pricing for prospects using parity testing and pricing tools, based on actual group risk. The role supports training of new colleagues and partners with carrier pricing teams to ensure pricing accuracy.

The position is office-based in India with opportunities to collaborate across Sales and Insurance Services. You will review census data and health plans, handle complex cases, and contribute to team

Qualifications

• Bachelor's Degree or equivalent experience required.
• Typically 5+ years in insurance pricing or underwriting.
• 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.
• Salesforce.com knowledge is preferred.
• 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

Responsabilités

• 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.
• Review prospect census and medical plans to provide recommendations.
• Actively collaborate with Sales colleagues.
• Review complex cases such as self-funded groups and those over 100 employees.
• Assist in training of new colleagues and ongoing training of new colleagues.
• Assist 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.

Connaissances

Medical pricing

Data analysis

Excel

Office Suite

Salesforce

Health plan pricing

Independent thinking

Multi-tasking

Pricing knowledge

Formation

Bachelor's Degree or equivalent experience

Outils

Parity testing tool

Medical pricing tool

Description du poste

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.

What You Will Do

• 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

Education Qualifications

• Bachelor\'s Degree or equivalent experience required

Experience Qualifications

• Typically 5+ years in insurance pricing or underwriting required

Skills And Abilities

• 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
• Salesforce.com knowledge is preferred
• 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

Travel Requirements

• Minimal

Work Environment

• Work in clean, pleasant, and comfortable office or home 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.