Remote Associate Actuary - Medicare Part D Pricing

Humana Inc; Madison (WI); 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 advise Product Development on cost impacts. You will develop pricing tools, project drug utilization trends, and support forecasting, bidding, and strategic decisions.

The role collaborates with pricing, forecasting, clinical, pharmacy, formulary, and finance teams, monitoring regulatory shifts and market dynamics to inform pricing strategy. This is a remote position with travel as needed.

Qualifications

• Bachelor's Degree required.
• ASA designation required.
• MAAA designation required.
• Excellent communication and interpersonal skills in translating complex topics.
• Strong analytical skills and problem solving.

Responsibilities

• Analyze historical claims experience, utilization patterns, member behavior, and market dynamics to forecast drug costs.
• Develop and maintain pricing tools for standard and custom benefits.
• Forecast utilization for Medicare Part D products to support pricing, forecasting, bid development, and strategic decisions.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to reflect emerging experience and initiatives.
• Monitor external factors such as new drug launches, exclusivity changes, guidelines, and regulation impacts.
• Communicate findings and recommendations to business partners and leadership.

Skills

Strong analytical skills

Excellent communication

Pricing knowledge

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 advise Product Development on cost impacts. You will develop pricing tools, project drug utilization trends, and support forecasting, bidding, and strategic decisions.

The role collaborates with pricing, forecasting, clinical, pharmacy, formulary, and finance teams, monitoring regulatory shifts and market dynamics to inform pricing strategy. This is a remote position with travel as needed.