Associate Actuary, Pricing

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $106.9k - $147k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 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

• Set pricing assumptions to support Medicare Part D bids • Provide guidance to Product Development on new product and benefit cost impacts • Develop and maintain pricing tools for standard and custom benefits • Develop and maintain projections of drug utilization trends for Humana's Medicare Part D products • Support pricing, forecasting, bid development, and strategic decision-making • Analyze historical claims experience, emerging utilization patterns, member behavior, and market dynamics • Identify key drivers of pharmacy cost trends and forecast future utilization at drug, therapeutic class, and product levels • Use actuarial models, experience studies, and analytical tools to research utilization changes and capture actionable insights • Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams • Monitor new drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts • Communicate findings and recommendations to business partners and leadership • Influence department strategy through subject matter expertise in Medicare Part D utilization trends

🎯 Requirements

• Bachelor's Degree • Associate of Society of Actuaries (ASA) designation • MAAA • Excellent communication and interpersonal skills, including the ability to translate complex topics to both technical and non-technical audiences • Strong analytical skills • Three or more years of Pricing, Medicare and/or Part D experience (preferred) • SAS/SQL/R/Databricks programming experience (preferred) • Experience with Power BI dashboards (preferred) • Experience with model building, exploratory analysis, and/or developing dashboards (preferred) • Highly motivated and willing to learn (preferred) • Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet • 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 • Remote work arrangement • Home office work setup with dedicated workspace • Potential travel for training or meetings