Remote Associate Actuary, Pricing – Medicare Part D

Humana Inc; Juneau (AK); 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 support product development with cost impact analyses.

You will develop and maintain pricing tools and projections to price standard and custom benefits, and collaborate across pricing, forecasting, clinical, pharmacy and finance teams. You will monitor utilization trends, drug launches, regulatory changes, and market dynamics to inform forecasting and strategic decision-making,

Qualifications

• Bachelor's Degree.
• ASA designation.
• MAAA.
• Excellent communication and interpersonal skills including the ability to translate complex topics to both technical and non-technical audiences.
• Strong analytical skills.
• Three or more years of Pricing, Medicare and/or Part D experience.
• SAS/SQL/R/Databricks programming experience.
• Experience with Power BI dashboards.
• Experience with model building, exploratory analysis, and/or developing dashboards.
• Highly motivated and willing to learn.

Responsibilities

• Analyze historical claims experience, utilization patterns, member behavior, and market dynamics to forecast pharmacy cost trends.
• Leverage actuarial models, experience studies, and analytical tools to research root causes of utilization changes and capture actionable insights.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions reflect emerging experience and initiatives.
• Monitor external factors, including new drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts.
• Communicate findings and recommendations to business partners and leadership to support forecasting and strategic planning decisions.
• Begin to influence department strategy through subject matter expertise in Medicare Part D utilization trends.

Skills

Communication skills

Analytical skills

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 support product development with cost impact analyses.

You will develop and maintain pricing tools and projections to price standard and custom benefits, and collaborate across pricing, forecasting, clinical, pharmacy and finance teams. You will monitor utilization trends, drug launches, regulatory changes, and market dynamics to inform forecasting and strategic decision-making,