Senior Health Plan Pricing Analyst
Core
Determine appropriate medical pricing for prospective clients by evaluating risk, reviewing current medical offerings, and using specialized third-party tools.
Role type
Senior Health Plan Pricing Analyst
Builds
Medical rate assignments and pricing proposals for SMB clients
Domain
Insurance / Health Benefits
Required skills
Health plan pricing expertise, Risk forecasting, Claims evaluation, Trend analysis, Complex case review (self-funded groups), Carrier compliance knowledge, Excel proficiency
Preferred skills
Salesforce.com knowledge, Mathematical problem solving
Responsibilities
Evaluate submitted documents and census information to determine correct medical pricing, Review complex cases such as self-funded groups and those over 100 employees, Collaborate with Sales colleagues to explain pricing guidelines, Assist in training of new colleagues, Review and evaluate the output of pricing tools
Seniority
Senior, hands-on IC