Actuary, Part D Pricing

Job not on LinkedIn

🕒 May 14

🇺🇸 United States – Remote

💵 $129.3k - $177.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• The Actuary, Pricing sets pricing assumptions, submits bids, files and gains approval of premium rates and rate certifications with regulatory agencies. • You will support implementation of rates, new plans and benefit changes. • You will provide guidance to Product Development on new product/benefit cost impacts. • You will develop and maintain pricing tools that price standard and custom benefits. • The Actuary, Pricing will report to the Associate Director, Actuarial Pricing. • The Actuary, Pricing establishes market level financial metrics to align with segment profitability goals, analyzes market level results and projections and develops recommended pricing actions to address gaps to targeted metrics. • You will leverage market level projections and experience data tools to research root cause and capture insights. • You will research and understand competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for profitable membership growth. • You will be accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations. • You will advise executives to develop functional strategies (often segment specific) on matters of significance.

🎯 Requirements

• 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)

🏖️ Benefits

• Health benefits effective day 1 • Paid time off, holidays, volunteer time and jury duty pay • Recognition pay • 401(k) retirement savings plan with employer match • Tuition assistance • Scholarships for eligible dependents • Parental and caregiver leave • Employee charity matching program • Network Resource Groups (NRGs) • Career development opportunities