Remote Medicare Part D Pricing Actuary

Humana Inc; Cheyenne (WY); Remote; USD 107,000 - 147,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. is seeking an Associate Actuary, Pricing to set pricing assumptions for Medicare Part D bids, develop pricing tools, and support forecasting and strategic decisions.

You will analyze claims data and utilization trends to forecast future costs, while collaborating with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to reflect initiatives and industry developments. This remote role offers 40 hours weekly and a bonus plan along with competitive benefits.

Qualifications

• Bachelor's Degree required.
• ASA designation and MAAA certification essential.
• Excellent communication and interpersonal skills.
• Strong analytical skills.

Responsibilities

• Set pricing assumptions to support Medicare Part D bids and advise on new product/benefit cost impacts.
• Develop and maintain pricing tools for standard and custom benefits.
• Analyze historical claims experience and utilization trends to forecast future costs at drug, class, and product levels.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to reflect emerging experience and initiatives.
• Monitor external factors such as new drug launches and regulatory impacts to assess effects on utilization patterns.
• Communicate findings and recommendations to business partners and leadership to support strategic decisions.

Education

Bachelor's Degree

ASA designation

MAAA

Excellent communication and interpersonal skills

Strong analytical skills

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, develop pricing tools, and support forecasting and strategic decisions.

You will analyze claims data and utilization trends to forecast future costs, while collaborating with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to reflect initiatives and industry developments. This remote role offers 40 hours weekly and a bonus plan along with competitive benefits.