Associate Actuary - Medicare Part D

Profile

Description

The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit cost impacts. Develops and maintains pricing tools that price standard and custom benefits. 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.

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.

Required Qualifications


Bachelor's Degree
Associate of Society of Actuaries (ASA) designation
Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
MAAA
Strong problem-solving, critical thinking, and analytical skills
Strong interpersonal and communication skills to manage relationships with customers
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Experience in Medicare Part D
Experience in coding, e.g., SAS, VBA, Python, etc.
Independent consulting ability
Ability to think holistically through a project


Scheduled Weekly Hours

40

Company info

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