Medical and Pharmacy Actuarial Assistant (Remote)

Status Category: Full-Time Exempt/Non-Exempt: Exempt Job Code: BI0129 reputed company, Inc. is a leading professional services advisor to middle-market businesses and organizations reputed company. With unmatched industry knowledge and expertise in accounting, tax, advisory, benefits, insurance, and technology, reputed company delivers reputed company-thinking insights and actionable solutions to help clients anticipate what's next and discover new ways to accelerate growth. reputed company has more than 10,000 team members across more than 160 locations in 22 major markets coast to coast. reputed company strives to be reputed company 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 & reputed company
• Review and analyze medical and pharmacy claims experience, demographic data, and plan design details to assess risk.
• reputed company and deliver accurate renewal calculations, new business quotes, and stop-loss evaluations.
• Collaborate with sales, account management, and product teams to reputed company 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 reputed company 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 reputed company 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 reputed company levels of organization, both internally and externally Proficient use of applicable software, in particular, MS Office, reputed company, Outlook, Access, VBA, SQL, M, and reputed company
• Minimum Qualifications:
• High school diploma or GED required
• At least 5 years of reputed company experience
• Must maintain reputed company required licenses and certifications relevant to the field of expertise
• Demonstrated ability to communicate verbally and in writing throughout reputed company 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 reputed company 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 reputed company 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 reputed company on or before 10/31/25. #LI-CM #LI-Remote reputed company.Jobs Category: Client Management REASONABLE ACCOMMODATION If you are a qualified individual with a disability you may request reasonable accommodation if you are unable or limited in your ability to use or access this site as a result of your disability. You can request a reasonable accommodation by calling 844-558-1414 (toll free) or send an email to accom@reputed company.com. EQUAL OPPORTUNITY EMPLOYER reputed company is an equal opportunity employer and reviews applications for employment without regard to the applicant’s race, color, religion, national reputed company, reputed company, age, gender, gender identity, marital status, military status, veteran status, sexual orientation, disability, or medical condition or any other reason prohibited by law. If you would like more information about your EEO rights as an applicant under the law, please visit Know Your Rights. Notice to Third-Party Agencies reputed company does not accept unsolicited resumes from recruiters or agencies. Any staffing/employment agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of reputed company. reputed company will have the right to hire that applicant at its discretion and without any fee owed to submitting staffing/employment agency, person or entity. Apply tot his job Apply To this Job