Lead Actuary

The Actuary, Pricing (Lead Actuary) is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports 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 (Lead Actuary) works on problems of diverse scope and complexity ranging from moderate to substantial.

Reporting to the Associate Director, Actuarial Pricing, the Actuary, Pricing (Lead Actuary) 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 be accountable for supporting 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. You will exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision. The Actuary, Pricing (Lead Actuary) will use independent judgment requiring analysis of variable factors and determining the best course of action.

• 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)

• Experience in Medicare Advantage (MA)
• Knowledge of pricing basics
• Prior leadership experience

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

Work at Home Requirements:
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.

Travel:
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…