Associate Actuary, Pricing

Employment Type

: Full-Time

Industry

: Miscellaneous



Description At Humana, the Market Risk Management Actuarial team is at the heart of executing on the strategic priorities for the Employer Group segment. Our teams drive business results by developing strategies and pricing actions at the market level to achieve profitability and membership targets. 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 for several Employer Group markets. 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. Makes decisions on moderately complex issues regarding technical approach for project components, and work is performed with limited guidance. Responsibilities Key responsibilities for the Actuary include: * Oversee the actuarial functions for several Employer Group markets * Peer review and provide sign-off for state and federal rate filings and rate certifications * Evaluate market level financial projections to investigate and analyze gaps in actual performance to expectation * Collaborate with key business partners (actuarial and non-actuarial) to understand market dynamics and innovate market level growth initiatives * Communicate and present rate recommendations and market financial results to key stakeholders * Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision Required Qualifications * Bachelor's Degree * FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. * MAAA * 3+ years of health actuarial work experience * Strong communication skills * Experience in more than one function (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) * Must be passionate about contributing to an organization focused on continuously improving consumer experience Preferred Qualifications * Proficiency in Excel, VBA, SQL * Experience working with the markets or sales in Commercial or Medicare environments * Interest in leading actuarial students * Ability to collaborate and build relationships with non-actuarial business partners * Rate filing experience * Presentation skills or strong desire to practice presentation skills * Collaborator and team-player * Strong time and project management skills Additional Information Scheduled Weekly Hours 40

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