Job DescriptionA 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 preferred
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.
The preferred location for this role is Dublin, CA, and the salary range for this location is $85,000.00 to $159,250.00. All qualified external applicants will be considered for an in-office role, based in Dublin. All qualified internal candidates are encouraged to apply and consider relocation to Dublin and may be considered for remote hire at the company's discretion. The candidate's final salary offer will be based on the candidate's skills, education, work location and experience.
A candidate's compensation may also include bonuses consistent with TriNet's corporate bonus plan.
Additionally, subject to applicable eligibility requirements, TriNet offers permanent full-time employees a variety of benefits including medical, dental, and vision plans, life and disability insurance, a 401(K) savings plan, an employee stock purchase plan, eleven (11) Company observed holidays, PTO and a comprehensive leave program. Please click the following link for detailed information about our benefits offerings: https://www.trinet.com/documents/blt5b61a1040aae1904
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.
