Health Plan Pricing Senior Analyst

Tri Net 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.

Tri Net 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.

Tri Net 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 Tri Net'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 doWork 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 Tri Net 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 preferred

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 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 locations for this role are Dublin, CA and Irvine, CA, and the salary range listed reflects these locations. All qualified external applicants will be considered for an in-office role based in Dublin or Irvine. All qualified internal candidates are encouraged to apply and consider relocation and may be considered for remote hire at the company’s discretion. The candidate’s final salary offer will be based on skills, education, work location, and experience.

The salary range for these locations are $69,300.00 to $. 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…