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Humana
Humana
H1B Visa SponsorHealthcareHealthcare InsuranceInsurance
Humana is a healthcare and health insurance company focused on improving health outcomes for individuals, communities, and the broader healthcare system. Its work includes Medicare Advantage HMO, PPO, and PFFS plans serving populations such as seniors and military members. Humana also emphasizes an inclusive workplace built around belonging, mutual respect, and opportunities for employees to contribute to the company’s health-focused mission.
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Humana Medicare Advantage Pricing Actuary

Develop pricing for Humana’s Medicare Advantage products, including bid preparation, rate filing support, and strategies for profitable plan performance.

USUnited States
$129,300 – $177,800 / year
RemoteFull-timeMiddleSeniorEnglish RequiredActuary

Description

  • Create and implement pricing strategies for Medicare Advantage products.
  • Set 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 effects of proposed products and benefits.
  • Build and maintain pricing tools for standard and customized offerings.
  • Set market-level financial measures that support segment profitability goals.
  • Analyze results and projections.
  • Recommend pricing changes to address performance gaps.
  • Manage forecasting cycles according to government timelines.
  • Use market projections and experience data to identify root causes and develop actionable insights.
  • Track the competitive landscape.
  • Work with market partners to support profitable membership growth.
  • Provide actuarial certifications for rate filings and attest to compliance with state and federal rating and benefit rules.
  • Advise executives on significant functional strategies specific to the segment.
  • Report to the Director of Actuarial Pricing.
  • Occasionally travel to Humana offices for training or meetings.

Requirements

  • Bachelor’s degree.
  • FSA or ASA, along with a relevant advanced degree, recent relevant work experience, and/or other relevant professional designations.
  • MAAA designation.
  • Ability to communicate ideas effectively in writing and verbally.
  • Experience in more than two functions, such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending.
  • Ability to accommodate a work schedule aligned with the Eastern Time Zone (EST).
  • Home internet download speed of at least 25 Mbps.
  • Home internet upload speed of at least 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.

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