Actuary, Pricing – Individual MA

This is a fully remote position, open to applicants in United States.

📋 Description

• Design and implement pricing strategies for Medicare Advantage offerings.

• Set pricing assumptions for various products.

• Prepare and present bids for approval.

• Assist with regulatory rate filings and necessary certifications.

• Aid in the implementation of rates, new plans, and modifications to benefits.

• Provide guidance to Product Development on the financial implications of new products and benefits.

• Create and maintain pricing tools for both standard and customized solutions.

• Define market-level financial metrics that align with segment profitability objectives.

• Analyze performance metrics and future projections.

• Suggest pricing strategies to mitigate performance discrepancies.

• Oversee forecasting cycles in accordance with timelines set by governmental agencies.

• Utilize market projections and experience-based data tools to uncover root causes and formulate actionable recommendations.

• Keep track of the competitive landscape.

• Collaborate with market partners to facilitate profitable membership expansion.

• Provide actuarial certifications associated with rate filings and ensure compliance with both state and federal rating and benefit regulations.

• Advise senior executives on significant, segment-specific functional strategies.

• Report directly to the Director of Actuarial Pricing.

• Travel occasionally to Humana offices for training sessions or meetings.

⛳️ Requirements

• Bachelor's Degree required.

• FSA or ASA with a relevant advanced degree, along with recent and pertinent work experience, or other applicable professional designations.

• MAAA designation is necessary.

• Must be able to communicate ideas clearly both in writing and verbally.

• Experience in multiple functions such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending is preferred.

• Willingness to adapt to a work schedule that follows Eastern Time Zone (EST).

• Minimum home internet download speed of 25 Mbps is required.

• Minimum home internet upload speed of 10 Mbps is required.

• Must have a dedicated workspace free from interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Incentive bonus plan based on company and/or individual performance.

• Medical insurance benefits.

• Dental insurance benefits.

• Vision insurance benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability coverage.

• Long-term disability coverage.

• Life insurance.

• Support for personal wellness.

• Assistance with smart healthcare decisions.