Actuary, Pricing - Individual MA

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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.

• Use your skills to make an impact
• Required Qualifications

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)

Preferred Qualifications

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

Additional Information

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

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. Scheduled Weekly Hours

40 Pay Range

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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits

Humana , Inc. and its affiliated subsidiaries (collectively, “ Humana ”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and 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 and many other opportunities.Application Deadline: 10-21-2026

About us

About Humana : Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana .com and at CenterWell.com. ​

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Originally posted on Himalayas