Associate Actuary Pricing Medicare Advantage Prescription Drug

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Job Information

Humana

Associate Actuary, Pricing Medicare Advantage Prescription Drug

in

Albuquerque

New Mexico

Description

The Associate Actuary role is a newly created role within the Senior Products Actuarial Medicare Advantage Prescription Drug Pricing team. This role will focus on developing the risk deal assumption that will be used in bids, projections, and filings. The Associate Actuary will help build and maintain tool used for risk deal processes. Humana has an increased emphasis of value based provider arrangements and this role is responsible for assessing these arrangements. This position requires frequent collaboration across teams to ensure accurate outputs and methodologies. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This is a great role for a collaborative, detailed oriented and creative individual.

Responsibilities

The Associate Actuary, Pricing establishes market level financial metrics to align with segment profitability goals, analyzes market level results and projections and develops recommended pricing actions to address gaps to targeted metrics. Leverages market level projections and experience data tools to research root cause and capture insights. Researches and understands competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for profitable membership growth. Accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

More specifically the Associate Actuary will:

Analyze existing processes and recommend enhancements/improvements to methodology

Take full ownership of outcomes and operate with independence

Update and enhance current processes to keep up with PD ever-changing legislation

Take complex data and make it understandable for stakeholders and leaders

Think through complex dynamics of various aspects of the company

Required Qualifications

Bachelor's Degree

Associate of Society of Actuaries (ASA) designation

Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)

MAAA

Demonstrated ability to communicate technical information with audiences in the actuarial and non-actuarial spaces.

3 years of healthcare industry experience

Proficient in Microsoft Excel

We will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.

Preferred Qualifications

Medicare Advantage or Prescription Drug background

Proficient in SAS

Knowledge of Humana Value Based provider arrangements

Additional Information

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert:

Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com