Senior Health Plan Pricing Strategist

Mosaic.tech; Minneapolis (MN); On-site; USD 78,000 - 146,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) plan

Employee stock purchase plan

11 company holidays

PTO

Comprehensive leave program

Job summary

TriNet seeks a Senior Health Plan Pricing Analyst to determine medical pricing for prospects, using multiple pricing tools and collaboration with carrier partners. This role supports the Insurance Services team and trains colleagues while advancing pricing accuracy across health plans.

The ideal candidate will have 5+ years in insurance pricing or underwriting, expert knowledge of health plan pricing, and strong analytical skills.

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 Microsoft Office Suite; specifically with Excel
• Salesforce.com knowledge is preferred
• 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

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

Skills

Health plan pricing

Pricing analysis

Risk forecasting

Sales collaboration

Salesforce knowledge

Problem solving

Independent thinking

Multitasking

Education

Bachelor's Degree or equivalent experience

Tools

Excel

Salesforce.com

Job description

TriNet seeks a Senior Health Plan Pricing Analyst to determine medical pricing for prospects, using multiple pricing tools and collaboration with carrier partners. This role supports the Insurance Services team and trains colleagues while advancing pricing accuracy across health plans.

The ideal candidate will have 5+ years in insurance pricing or underwriting, expert knowledge of health plan pricing, and strong analytical skills.