Senior Health Plan Pricing Analyst
Core
Determine appropriate medical pricing and underwriting decisions for employer groups by evaluating risk characteristics, demographic data, and claims experience using specialized tools.
Role type
Senior Health Plan Pricing Analyst
Builds
Medical insurance pricing and underwriting decisions for SMB clients
Domain
Health insurance / PEO / SMB market
Required skills
Medical underwriting principles, health plan design, risk assessment methodologies, claims evaluation, trend analysis, risk forecasting, complex data interpretation, advanced Excel, Microsoft Office Suite
Preferred skills
Salesforce.com knowledge, Bachelor's Degree
Technologies
Parity testing tool, medical pricing tool, Salesforce.com, Microsoft Excel
Responsibilities
Evaluate employer group risk characteristics and demographic data to determine pricing; Analyze census data and benefit plan designs to assess risk exposure; Review complex cases including large groups and self-funded plans; Identify trends and risk factors impacting pricing accuracy; Collaborate with Revenue and Carrier Partners on pricing rationale; Assist with training and mentoring of new colleagues; Ensure compliance with carrier partner requirements
Seniority
Senior, hands-on IC