Health Plan Pricing Senior Analyst

Role 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.

• Work 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.
• Communicate with Sales colleagues.
• Assist with reviewing and evaluating tools and resources used by Tri Net, and make suggestions for improvements to these tools and to the Health Plan Pricing process.
• Perform other duties as assigned.
• Comply with all policies and standards.

• Bachelor's Degree or equivalent experience preferred.

• Typically 2+ years required.
• Experience in insurance pricing preferred.

• 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.

Minimal.

Work in a 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.

Salary range: $69,300.00 to $, based on skills, education, work location, and experience. Compensation may also include bonuses consistent with Tri Net’s corporate bonus plan.

Tri Net 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 company observed holidays; PTO; and a comprehensive leave program. For detailed information about benefits, see

Tri Net 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  to request such an accommodation.