Senior Health Plan Pricing Architect

Socket.dev; Austin (TX); On-site; USD 71,000 - 133,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision plans

Life insurance

Disability insurance

401(k) plan

Employee stock purchase plan

11 company holidays

Paid time off

Comprehensive leave program

Job summary

TriNet in Austin, TX is seeking a Senior Health Plan Pricing Analyst to ensure accurate medical pricing for prospects. The role uses parity testing tools and carrier inputs to determine risk-adjusted pricing and supports pricing teams.

You will help train new colleagues, liaise with carrier partners, and contribute to leadership development within the Insurance Services team and Health Plan Pricing department.

Qualifications

• Bachelor's Degree or equivalent experience preferred
• 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 Excel; 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 in 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

Skills

Health plan pricing

Pricing analysis

Excel

Salesforce.com

Independent thinking

Multi-tasking

Education

Bachelor's degree or equivalent

Tools

Microsoft Office Suite

Job description

TriNet in Austin, TX is seeking a Senior Health Plan Pricing Analyst to ensure accurate medical pricing for prospects. The role uses parity testing tools and carrier inputs to determine risk-adjusted pricing and supports pricing teams.

You will help train new colleagues, liaise with carrier partners, and contribute to leadership development within the Insurance Services team and Health Plan Pricing department.