Market Support - Pricing Lead

Humana; Louisville (KY); Remote; USD 129,000 - 178,000; Full time

Job summary

Join a forward-thinking company as an Actuary in Pricing, where you will play a vital role in setting pricing strategies and ensuring compliance with regulations. This position offers an opportunity to leverage your analytical skills and contribute to impactful decisions that enhance consumer experiences. You'll collaborate with various teams to drive profitable growth and provide insights that shape the company's future. With a competitive salary range and comprehensive benefits, this role is perfect for passionate professionals seeking to make a difference in the healthcare industry.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Holidays

Volunteer time off

Parental leave

Caregiver leave

Disability insurance

Qualifications

• Bachelor's Degree and relevant professional designations required.
• Experience in multiple actuarial functions is essential.

Responsibilities

• Set pricing assumptions and submit bids for premium rates.
• Analyze market-level results and develop pricing actions.

Skills

FSA or ASA

Strong communication skills

Experience in modeling

Experience in pricing

Experience in rate filing

Experience in reporting & analysis

Experience in reserving

Experience in trending

Education

Bachelor's Degree

Relevant advanced degree

MAAA

Job description

Become a part of our caring community and help us put health first

The Actuary, Pricing, is responsible for setting pricing assumptions, submitting bids, filing, and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans, and benefit changes. Provides guidance to Product Development on new product/benefit cost impacts. Develops and maintains pricing tools that price standard and custom benefits. The Actuary, Pricing, works on problems of diverse scope and complexity, ranging from moderate to substantial.

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. Leverages market-level projections and experience data tools to research root causes and capture insights. Researches and understands competitors in the marketplace and collaborates with sales and other partners to develop strategies for profitable membership growth. Accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations. Advises executives on developing functional strategies, often segment-specific, on matters of significance. Exercises independent judgment and decision-making on complex issues related to job duties, working under minimal supervision and analyzing variable factors to determine the best course of action.

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
• Strong communication skills
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving, or trending)
• Passion for contributing to an organization focused on continuously improving consumer experiences

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 vary based on geographic location, individual skills, knowledge, experience, education, certifications, etc.

$129,300 - $177,800 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.

Description of Benefits

Humana offers competitive benefits supporting whole-person well-being, including medical, dental, vision, 401(k), paid time off, holidays, volunteer time off, parental and caregiver leave, disability, life insurance, and more.

Application Deadline: 05-29-2025

About us

Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, customers, and community. Through our insurance and healthcare services, we help millions achieve their best health, leading to a better quality of life for diverse populations including Medicare, Medicaid, families, and military personnel.

Equal Opportunity Employer

Humana values diversity and inclusion, ensuring non-discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. We are committed to affirmative action and employment decisions based solely on valid job requirements at all employment levels.