Description

The Associate Actuary, Pricing 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. Provides guidance to Product Development on new product/benefit cost impacts. Develops and maintains pricing tools that price standard and custom benefits. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Associate 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. Leverages market level projections and experience data tools to research root cause and capture insights. Researches and understands competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for profitable membership growth. Accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

This specific role will focus on forecasting utilization trends for Humana's Medicare Part D products.

Required Qualifications

• Bachelor's Degree
• Associate of Society of Actuaries (ASA) designation
• Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
• MAAA
• Excellent communication and interpersonal skills including the ability to translate complex topics to both technical and non-technical audiences
• Strong analytical skills
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Three or more years of Pricing, Medicare and/or Part D experience
• SAS/SQL/R programming experience
• Experience with model building, exploratory analysis, and/or developing dashboards
• Highly motivated and willing to learn

Additional Information

Scheduled Weekly Hours

40