[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 impacts 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 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

• Competitive benefits that support whole-person well-being
• 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 and many other opportunities

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.