Medicare Part D Pricing Actuary (ASA/MAAA) - Remote

Humana Inc; Jackson (MS); 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 guide product development on cost impacts.

You will develop and maintain pricing tools and project drug utilization trends to support pricing, forecasting, bid development, and strategic decisions. You will collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions reflect emerging experience and regulatory developments.

Qualifications

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

Responsibilities

• Analyze historical claims, utilization patterns, and market dynamics to forecast costs.
• Develop pricing tools for standard and custom benefits.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams.
• Monitor external factors like drug launches and regulatory changes.
• Present findings to business partners and leadership.
• Influence department strategy through Medicare Part D utilization insights.

Skills

Communication skills

Analytical skills

Team collaboration

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 guide product development on cost impacts.

You will develop and maintain pricing tools and project drug utilization trends to support pricing, forecasting, bid development, and strategic decisions. You will collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions reflect emerging experience and regulatory developments.