Actuarial Analyst-Pharmacy

We are interested in Actuarial Analysts/Actuaries that have pharmacy experience.

This position has the option to work fully remote throughout the U.S.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Estimates current and future liabilities. Proposes premiums that achieve company goals. Works under minimal supervision.

Responsibilities

Actuarial Analyst II, III, IV, Associate Actuary, & Actuary

• Estimates future claims.
• Estimates current claims (reserving: estimate unpaid claim liabilities).
• Analyzes historical experience.
• Reviews appropriateness of rating factors by plan, area, network, etc.
• Proposes premiums that achieve company goals.
• Forecasts the future.
• Loads and tests premiums.
• Performs ad hoc analyses as needed.
• Performs other duties as assigned.

Qualifications

Actuarial Analyst II

Education and Experience

• Bachelor's Degree in Business Administration or related field.
• 1 year experience in health actuarial work.

Professional Certification(s):

• Has completed 3 courses and is on track to attain the Associate of the Society of Actuaries (ASA) designation.

Technical Skills and Knowledge

• Intermediate Microsoft Office Skills, including MS Access.

Actuarial Analyst III

Education and Experience

• Bachelor's Degree in Business Administration or related field.
• 3 years experience in health actuarial work required; 4 years preferred.
• 1 year of experience in Medicare Advantage or Medicare Supplement if assigned to Medicare area.

Professional Certification(s)

• Has passed 4 courses and is on track to attain the Associate of the Society of Actuaries (ASA) designation.

Technical Skills and Knowledge

• Intermediate MS Office Skills, including MS Access.

Actuarial Analyst IV

Education and Experience

• Bachelor's Degree in Business Administration or related field.
• 4 years experience in health actuarial work required; 5 years preferred.
• 2 years of experience in Medicare Advantage or Medicare Supplement if assigned to the Medicare area.

Professional Certification(s)

• Has passed 5 courses and is on track to attain the Associate of the Society of Actuarials (ASA) designation.

Technical Skills and Knowledge

• Intermediate MS Office Skills, including MS Access.

Associate Actuary

Education and Experience

• Bachelor's Degree in Business Administration or related field required.
• Master's Degree in Business Administration or related field preferred.
• 5 years experience in health actuarial work required.

Professional Certification(s)

• Associate of the Society of Actuaries (ASA)
• Member American Academy of Actuaries (MAAA)
• Completed 7 Actuarial Courses

Technical Skills and Knowledge

• Intermediate MS Office Skills, including MS Access.

Actuary

Education and Experience

• Bachelor's Degree in Business Administration or related field required.
• Master's Degree in Business Administration or related field preferred.
• 6 years experience in health actuarial work required.

Professional Certification(s)

• Fellow of the Society of Actuaries (FSA)
• Member of the American Academy of Actuaries (MAAA)
• Completed all 9 Actuarial Courses

Technical Skills and Knowledge

• Intermediate MS Office Skills, including MS Access.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.