Actuary, Part D Pricing

Become a part of our caring community The Actuary, Pricing sets pricing assumptions, submits bids, files and gains approval of premium rates and rate certifications with regulatory agencies. You will support implementation of rates, new plans and benefit changes. You will provide guidance to Product Development on new product/benefit cost impacts. You will develop and maintain pricing tools that price standard and custom benefits. The Actuary, Pricing will report to the Associate Director, Actuarial Pricing. The 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. You will leverage market level projections and experience data tools to research root cause and capture insights. You will research and understand competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for profitable membership growth. You will be accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations. You will advise executives to develop functional strategies (often segment specific) on matters of significance. 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)

Additional Information Location: This is a remote position. Benefits: Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

Work At Home / Internet Information: 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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Alert:Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website. 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 year This 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 06-10-2026 Apply tot his job Apply To this Job