Market Support - Pricing Lead

Humana; United States; Remote; USD 129,000 - 178,000; Full time

Job summary

Join a forward-thinking company dedicated to improving health outcomes. As an Actuary in Pricing, you will play a crucial role in setting pricing assumptions and developing strategies to enhance profitability. This remote position allows you to leverage your analytical skills while collaborating with diverse teams to drive impactful decisions. You will establish financial metrics, analyze market data, and ensure compliance with regulations. Enjoy a competitive salary and a comprehensive benefits package that supports your well-being and professional growth. If you're passionate about making a difference in the healthcare landscape, this opportunity is for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Paid time off

Holidays

Volunteer leave

Parental leave

Caregiver leave

Disability insurance

Qualifications

• Bachelor's Degree required; FSA or ASA preferred.
• Experience in modeling, pricing, and rate filing necessary.

Responsibilities

• Set pricing assumptions and submit bids for approval.
• Analyze market-level results and develop pricing strategies.

Skills

Strong communication skills

Modeling

Pricing

Rate filing

Reporting & analysis

Reserving

Trending

Passion for improving consumer experiences

Education

Bachelor's Degree

FSA or ASA plus 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 to develop functional strategies, often segment-specific, on matters of significance. Exercises independent judgment and decision-making on complex issues, working under minimal supervision, 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 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 employment at 40 hours per week at the time of posting. The range may vary based on geographic location, individual skills, knowledge, experience, education, and certifications.

$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 leave, parental and caregiver leave, disability insurance, 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. We provide insurance and healthcare services to help people achieve their best health, improving quality of life for diverse populations including Medicare, Medicaid, families, and military personnel.

Equal Opportunity Employer

Humana does not discriminate against employees or applicants based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. We promote affirmative action and employment decisions based on valid job requirements, ensuring equal opportunity at all employment levels.