[Hiring] Actuary, Pricing @Humana

Role Description

The Actuary, Pricing will play a key role in developing and executing pricing strategies for Medicare Advantage products. Responsibilities include:

• Establishing pricing assumptions
• Preparing and submitting bids
• Supporting regulatory rate filings and certifications
• Implementing rates, new plans, and benefit changes
• Advising Product Development on cost impact of new products and benefits
• Developing and maintaining tools for pricing both standard and customized offerings
• Addressing a broad range of moderately to highly complex actuarial challenges
• Establishing market-level financial metrics aligned with segment profitability goals
• Analyzing results and projections
• Recommending pricing actions to address gaps in targeted performance
• Managing forecasting cycles aligned with government-established timelines
• Identifying root causes and developing actionable insights using market projections and experience-data tools
• Monitoring the competitive landscape
• Collaborating with market partners to create strategies that support profitable membership growth
• Accountable for actuarial certifications related to rate filings
• Advising executives on significant, often segment-specific functional strategies

Qualifications

• Bachelor's Degree
• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
• MAAA
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Requirements

• Willingness to accommodate a work schedule according to Eastern Time Zone (EST)
• This is a remote position
• Work at Home Requirements:
  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps required
  • Wireless, wired cable or DSL connection is suggested
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• Occasional travel to Humana's offices for training or meetings may be required

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$129,300 - $177,800 per year

This job is eligible for a bonus incentive plan based upon company and/or individual performance.

Application Deadline

10-21-2026