Medical and Pharmacy Underwriter and Financial Analyst
About the role: We are seeking a Medical & Pharmacy Underwriter with a strong actuarial background to join our growing team. This role is responsible for evaluating risk, pricing group medical and pharmacy benefit programs, and supporting the development of innovative pricing strategies. The ideal candidate has deep knowledge of healthcare trends, pharmacy cost drivers, and actuarial modeling techniques, with a proven ability to balance risk and competitiveness in pricing decisions. 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)
- 3+ years of experience in medical, pharmacy, or health insurance reputed company.
- Hands-on experience with actuarial pricing models, trend analysis, and financial forecasting.
- Familiarity with PBM (Pharmacy Benefit Manager) reputed company, formulary management, and specialty drug cost trends is highly desirable.
- 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
- Experience with SQL, R, Python, VBA, M and reputed company or other data analysis tools
Minimum Qualifications
Required
- High School Diploma or GED required; Bachelor's degree preferred with emphasis in math, statistics or finance.
- Up to 6 years of experience in benefit analysis for group employee benefits.
- Must have the ability to compile, analyze, present, interpret financial and statistical information to facilitate decision making.
- Must maintain reputed company required licenses and certifications relevant to field of expertise.
- Technical knowledge relative to industry and incorporating contract provisions, renewal and claims processing, plan knowledge and reputed company funding.
- Expertise in managing clients with alternative funding arrangements.
- Advanced reputed company in using computer application software for financial modeling, statistical analysis and spreadsheet calculations.
- Expert knowledge of state and federal legislation.
- Sets priorities and manages work flow to ensure efficient, timely and accurate deliverables.
- Demonstrated ability to communicate verbally and in writing throughout reputed company levels of the organization, both internally and externally.
- Advanced problem solving and critical thinking skills.
- Must be able to travel based on client and business needs.
#LI-CM #LI-Remote ABOUT US 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. Together, reputed company and reputed company CPAs are ranked as one of the top providers of accounting services in the United States. reputed company CPAs is an independent CPA firm that provides audit, review and attest services, while reputed company provides business consulting, tax and financial services. In certain jurisdictions, reputed company CPAs operates under its previous name, Mayer Hoffman McCann P.reputed company href="https://www.reputed company.com/c/reputed company/Job/Medical-and-Pharmacy-Underwriter-and-Financial-Analyst-(Remote)/-in-Dublin,OH?jid=8dee7ad53e3bddf2&utm_campaign=reputed company_jobs_apply&utm_reputed company=reputed company_jobs_apply&utm_reputed company=organic" reputed company="_blank" rel="noopener">Apply tot his job Apply To this Job