Associate Actuary – Medicare Part D Pricing (Remote)

Humana Inc; Honolulu (HI); Remote; USD 107,000 - 147,000; Full time

Job summary

Humana Inc. is seeking an Associate Actuary, Pricing to set pricing assumptions for Medicare Part D bids and to develop pricing tools for standard and custom benefits. You will project drug utilization trends to support pricing, forecasting, bid development, and strategic decision-making.

You will analyze historical claims, utilization patterns, and market dynamics, leveraging actuarial models to uncover drivers of cost trends and forecast future utilization at multiple levels.

Qualifications

• Bachelor's degree required.
• ASA designation required.
• MAAA required.
• Excellent communication and interpersonal skills.
• Strong analytical skills.

Responsibilities

• Set pricing assumptions to support Medicare Part D bids.
• Develop and maintain pricing tools for standard and custom benefits.
• Project drug utilization trends for pricing, forecasting, and bids.
• Analyze historical claims, utilization patterns, and market dynamics.
• Collaborate with pricing, forecasting, clinical, pharmacy, and finance teams.
• Monitor external factors affecting utilization and reflect in models.
• Communicate findings to partners and leadership; influence strategy.

Skills

Pricing

Forecasting

Communication

Analytics

Education

Bachelor's Degree

ASA designation

MAAA

Tools

SAS/SQL/R

Databricks

Power BI

Job description

Humana Inc. is seeking an Associate Actuary, Pricing to set pricing assumptions for Medicare Part D bids and to develop pricing tools for standard and custom benefits. You will project drug utilization trends to support pricing, forecasting, bid development, and strategic decision-making.

You will analyze historical claims, utilization patterns, and market dynamics, leveraging actuarial models to uncover drivers of cost trends and forecast future utilization at multiple levels.