Remote Associate Actuary: Medicare Pricing & Forecasting

Humana Inc; Salt Lake City (UT); Remote; USD 107,000 - 147,000; Full time

Job summary

Humana Inc. is seeking an Associate Actuary, Pricing to lead pricing assumptions for Medicare Part D bids and to support product development with cost impact analyses.

You will build and maintain pricing tools, projecting drug utilization trends to inform pricing, forecasting, bid development, and strategic decisions. You will work with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure accurate utilization assumptions while monitoring external factors and

Qualifications

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

Responsibilities

• Set pricing assumptions for Medicare Part D bids.
• Develop pricing tools for standard and custom benefits.
• Project drug utilization trends to support pricing and forecasting.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary and finance teams.
• Monitor external factors like new drug launches and regulatory changes.
• Communicate findings to leadership and business partners.

Skills

Communication skills

Analytical skills

Translate complex topics

Education

Bachelor's Degree

ASA designation

MAAA

Tools

SAS/SQL/R/Databricks

Power BI dashboards

Modeling & dashboards

Job description

Humana Inc. is seeking an Associate Actuary, Pricing to lead pricing assumptions for Medicare Part D bids and to support product development with cost impact analyses.

You will build and maintain pricing tools, projecting drug utilization trends to inform pricing, forecasting, bid development, and strategic decisions. You will work with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure accurate utilization assumptions while monitoring external factors and