Actuarial Pricing Director, Medicare Advantage

Humana; Juneau (AK); Remote; USD 157,000 - 215,000; Full time

Job summary

Humana is seeking an Associate Director, Actuarial Pricing to set pricing assumptions, file rate bids, and obtain regulatory approval of premium rates. You will support new products and benefit changes and develop pricing tools for standard and custom benefits.

You will lead 2-3 Medicare Advantage regions, review bids for accuracy and compliance, forecast financials, and advise leadership with pricing insights while mentoring a small team across pricing, modeling and reporting functions.

Qualifications

• 5+ years of Medicare Advantage bid filing experience.
• Ability to articulate ideas in written and oral form.
• Experience across multiple pricing functions and products.

Responsibilities

• Lead 2–3 Medicare Advantage regions.
• Review MA bids for accuracy and compliance.
• Support recurring forecasts and provide financial guidance to leadership.
• Participate in cross-functional work groups.
• Manage 2–3 direct reports (total team 4–7).

Skills

Medicare Advantage pricing

Pricing modeling

Rate filing

Regulatory compliance

Leadership

Education

Bachelor's Degree

FSA/ASA/MAAA

Job description

Humana is seeking an Associate Director, Actuarial Pricing to set pricing assumptions, file rate bids, and obtain regulatory approval of premium rates. You will support new products and benefit changes and develop pricing tools for standard and custom benefits.

You will lead 2-3 Medicare Advantage regions, review bids for accuracy and compliance, forecast financials, and advise leadership with pricing insights while mentoring a small team across pricing, modeling and reporting functions.