Remote Medicare Part D Pricing Actuary

Humana Inc; Hartford (CT); Remote; USD 88,000 - 147,000; Full time

Job summary

Humana Inc. is seeking an Associate Actuary, Pricing to help set pricing assumptions for Medicare Part D bids.

You will develop pricing tools and provide guidance to Product Development on cost impacts of new benefits, while projecting drug utilization trends to support pricing, forecasting, bids, and strategic decisions. This remote role collaborates with pricing, forecasting, clinical, pharmacy, and finance teams and requires ASA and MAAA with an ASA designation, strong communication and

Qualifications

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

Responsibilities

• Set pricing assumptions to support Medicare Part D bids.
• Develop and maintain pricing tools for standard and custom benefits.
• Project drug utilization trends to support pricing, forecasting, and bids.
• Analyze historical claims, utilization patterns, and market dynamics.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams.
• Communicate findings to business partners and leadership.

Skills

Excellent communication

Analytical skills

Interpersonal skills

Ability to translate complex topics

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 help set pricing assumptions for Medicare Part D bids.

You will develop pricing tools and provide guidance to Product Development on cost impacts of new benefits, while projecting drug utilization trends to support pricing, forecasting, bids, and strategic decisions. This remote role collaborates with pricing, forecasting, clinical, pharmacy, and finance teams and requires ASA and MAAA with an ASA designation, strong communication and