Actuary, Risk Modeling

Location: Remote (For Non-Local) or Hybrid (Local to NYC area)

Capital Rx is looking for an Actuary to join our Underwriting team. In this role, you will lead the actuarial model development to deliver analyses, projections, and financial forecasts as it pertains to pharmacy benefits administration and management. As a part of a growing team, you’ll work directly with Underwriting’s leadership and cross-functional departments to establish model processes and improvements.

Position Responsibilities:

• Build and maintain actuarial and financial models to support business needs.

• Develop analyses such as drug price projections, manufacturer rebate projections and utilization trends across Commercial, Exchange, Medicaid and Medicare lines of business

• Manage collaboration with Leadership and other business functions to design, refine, and maintain internal financial modeling and forecasting SOPs in accordance with actuarial standards

• Work collaboratively with Underwriting team on trend, pricing and reporting needs for prospective and current business as needed

• Provide actuarial support for general business needs, as required

• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Minimum Qualifications:

• Bachelor’s degree, with record of strong academic performance in Actuarial Science, Statistics, Mathematics, Finance or Economics

• ASA or FSA designation

• 5 years of proven actuarial experience at a Health Organization or a Pharmacy Benefit Manager with an emphasis in construction and maintenance of models.

• Experience across Commercial, Medicare, Medicaid and Exchange healthcare lines of business are preferred

• Data mining experience working with large structured and unstructured data sets

• Advanced in Excel and data visualization tools

• Experience in either SQL, SAS, or R is preferred

• Track record of leading multiple cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables

• Exceptional technical, analytical, and problem-solving skills

• Exceptional written and verbal communication skills

• Extremely flexible, highly organized, and able to shift priorities easily

• Attention to detail & commitment to delivering high-quality work product

Base salary: $130,000 - $150,000

Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment.

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Salary : $130,000 - $150,000