Actuary, Pricing – Individual MA

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $129.3k - $177.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

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

• Develop and execute pricing strategies for Medicare Advantage products • Establish pricing assumptions • Prepare and submit bids • Support regulatory rate filings and certifications • Help implement rates, new plans, and benefit changes • Advise Product Development on the cost impact of new products and benefits • Develop and maintain pricing tools for standard and customized offerings • Establish market-level financial metrics aligned with segment profitability goals • Analyze results and projections • Recommend pricing actions to address performance gaps • Manage forecasting cycles aligned with government-established timelines • Use market projections and experience-data tools to identify root causes and develop actionable insights • Monitor the competitive landscape • Collaborate with market partners to support profitable membership growth • Provide actuarial certifications related to rate filings and attest to compliance with state and federal rating and benefit regulations • Advise executives on significant, segment-specific functional strategies • Report to the Director, Actuarial Pricing • Travel occasionally to Humana offices for training or meetings

🎯 Requirements

• Bachelor's Degree • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations • MAAA • Ability to articulate ideas effectively in written and oral forms • Experience in more than two functions, such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending • Willingness to accommodate a work schedule according to Eastern Time Zone (EST) • Minimum home internet download speed of 25 Mbps • Minimum home internet upload speed of 10 Mbps • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness support • Smart healthcare decision support