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Medical and Pharmacy Actuarial Assistant (Remote)

Medical and Pharmacy Actuarial Assistant (Remote)

CBIZUSA, Ohio, Dublin
16 days ago
Job type
  • Full-time
  • Remote
Job description

CBIZ, Inc. is a leading professional services advisor to middle-market businesses and organizations nationwide. With unmatched industry knowledge and expertise in accounting, tax, advisory, benefits, insurance, and technology, CBIZ delivers forward-thinking insights and actionable solutions to help clients anticipate what's next and discover new ways to accelerate growth. CBIZ has more than 10,000 team members across more than 160 locations in 22 major markets coast to coast.

CBIZ strives to be our team members' employer of choice by creating an environment where team members are appreciated, recognized for their contributions, and provided with opportunities to grow, both personally and professionally, throughout their careers.

The position will include financial assessments of employee benefits, forecasting health care benefit costs, forecasting health care actuarial reserves, predictive modeling, data analytics, and forecasting the economic impact of the health care reform.

Essential Functions and Primary Duties :

  • Risk Assessment & Underwriting

Review and analyze medical and pharmacy claims experience, demographic data, and plan design details to assess risk.

  • Develop and deliver accurate renewal calculations, new business quotes, and stop-loss evaluations.
  • Collaborate with sales, account management, and product teams to develop competitive pricing strategies.
  • Actuarial Analysis

    • Build, refine, and maintain actuarial models to support pricing and forecasting efforts.

  • Monitor emerging healthcare and pharmacy trends to incorporate into underwriting assumptions.
  • Conduct experience studies and recommend adjustments to rating assumptions as needed.
  • Financial Performance & Reporting

    • Provide insight into book-of-business performance, loss ratios, and trend development.

  • Prepare and present analyses to internal stakeholders and senior leadership.
  • Support financial forecasting and budget-setting initiatives.
  • Collaboration & Compliance

    • Partner with compliance and regulatory teams to ensure adherence to state and federal requirements.

  • Act as a subject-matter expert on risk, pricing methodology, and market competitiveness.

    • Preferred Qualifications :

  • Bachelor's degree in Actuarial Science, Economics, Statistics, or other math-oriented degrees
  • One or more years of underwriting and / or actuarial healthcare experience
  • Two or more actuarial exams passed
  • Must possess analytical skills (mathematics and statistics)
  • Must be able to comprehend, manipulate, and interpret statistical data
  • Demonstrated ability to communicate verbally and in writing throughout all levels of organization, both internally and externally
  • Proficient use of applicable software, in particular, MS Office, Excel, Outlook, Access, VBA, SQL, M, and SAS

    • Minimum Qualifications :

  • High school diploma or GED required
  • At least 5 years of underwriting experience
  • Must maintain current required licenses and certifications relevant to the field of expertise
  • Demonstrated ability to communicate verbally and in writing throughout all levels of the organization, both internally and externally
  • Advanced customer service skills
  • Proficient use of applicable technology
  • Ability to work in a team environment as well as independently
  • Ability to analyze and prioritize multiple responsibilities

    • The annual salary target for this job in this market is $75,000 -$85,000. The specific compensation for this role will be determined based on the education, experience, and skill set of the individual selected for this position.

    The compensation above is not representative of an employee's total compensation. Beyond income, you have access to; comprehensive medical and dental insurance, retirement savings, life and disability insurance, health care and dependent care reimbursement accounts, certification incentives, education assistance, referral programs, and much more.

    The application window is anticipated to close on or before 10 / 31 / 25.

    #LI-CM #LI-Remote

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