Primary responsibility is support of Small Group and Conversion business in New York - includes pricing, filing, implementation/testing for ACA plans and market-specific support for PEOs and other small-group initiatives in New York.
May assist with small group / PEO (Professional Employer Organizations) support for New England, New Jersey, Great Lakes, Arizona and Minnesota.
Partner with Product to optimize benefit plan portfolios by assessing plan performance, developing compliant benefit relativities and AVs, and consulting on the impact of benefit/cost sharing changes.
Partner with Finance and other market partners to develop Plan/Forecast projections, analyze monthly results, and understand impacts of risk adjustment and membership changes.
Develop rate filings and understand/support associated regulatory requirements.
Understand competitive positioning/intelligence and use to influence product and pricing strategies.
Assist with reserve analysis, including setting and tracking large claim accruals.
Support ad hoc benefit/cost sharing pricing requests.