Remote Actuary, Medicare Part D Pricing

Humana Inc

Olympia (WA)

Remote

USD 107,000 - 147,000

Full time

5 days ago

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Job summary

Humana Inc. is seeking an Associate Actuary, Pricing to set pricing assumptions for Medicare Part D bids and to guide product development.

You will develop and maintain pricing models and tools to price standard and custom benefits, while forecasting drug utilization trends to support forecasting, bids and strategic decisions. You will analyze historical claims, utilization patterns and market dynamics, collaborate across pricing, forecasting, clinical, pharmacy, and finance teams, monitor

Qualifications

Bachelor's degree required; ASA and MAAA designations preferred.
Excellent communication and interpersonal skills for technical and non-technical audiences.
Strong analytical skills to understand pricing drivers and trends.

Responsibilities

Set pricing assumptions to support Medicare Part D bids and influence product development.
Develop and maintain pricing tools for standard and custom benefits.
Analyze historical claims, utilization trends, and market dynamics to forecast costs at drug, class, and product levels.
Leverage actuarial models and analyses to identify root causes of utilization changes.
Collaborate with pricing, forecasting, clinical, pharmacy, and finance teams to reflect initiatives.
Monitor external factors like new drug launches and regulatory impacts to assess influence.
Communicate findings to leadership to support forecasting and strategic planning.