Actuary, Pricing - Individual MA

The Actuary, Pricing will play a key role in developing and executing pricing strategies for Medicare Advantage products. You will establish pricing assumptions, prepare and submit bids, supports regulatory rate filings and certifications, and help implement rates, new plans, and benefit changes. You will also advise Product Development on the cost impact of new products and benefits while developing and maintaining tools for pricing both standard and customized offerings.

This role addresses a broad range of moderately to highly complex actuarial challenges and requires strong analytical judgment and cross-functional collaboration.

The Actuary, Pricing will report to the Director, Actuarial Pricing. You will establish market-level financial metrics aligned with segment profitability goals, analyze results and projections, and recommend pricing actions to address gaps in targeted performance. You will manage forecasting cycles aligned with government-established timelines. Using market projections and experience-data tools, you will identify root causes and develop actionable insights.

The Actuary, Pricing also monitors the competitive landscape and collaborates with market partners to create strategies that support profitable membership growth. You will be accountable for actuarial certifications related to rate filings, including attesting to compliance with state and federal rating and benefit regulations. In addition, the Actuary, Pricing advises executives on significant, often segment-specific functional strategies.

• 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)

• Recent experience with Medicare Advantage bid filing
• Experience as a people leader

• Willingness to accommodate a work schedule according to Eastern Time Zone (EST)
• This is a remote position.

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

40

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. This incentive opportunity is based upon company and/or individual performance.

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…