Actuary, Pricing - Individual MA

Humana

2d • $129,300 - $177,800 • Remote

About The Position

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.

Requirements

• 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)

Nice To Haves

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

Responsibilities

• Develop and execute pricing strategies for Medicare Advantage products.
• Establish pricing assumptions.
• Prepare and submit bids.
• Support regulatory rate filings and certifications.
• Implement rates, new plans, and benefit changes.
• Advise Product Development on the cost impact of new products and benefits.
• Develop and maintain tools for pricing both standard and customized offerings.
• Establish market-level financial metrics aligned with segment profitability goals.
• Analyze results and projections.
• Recommend pricing actions to address gaps in targeted performance.
• Manage forecasting cycles aligned with government-established timelines.
• Identify root causes and develop actionable insights using market projections and experience-data tools.
• Monitor the competitive landscape.
• Collaborate with market partners to create strategies that support profitable membership growth.
• Be accountable for actuarial certifications related to rate filings, including attesting to compliance with state and federal rating and benefit regulations.
• Advise executives on significant, often segment-specific functional strategies.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior