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Associate Actuary - Work from Home

Humana

Become a part of our caring communityThe Associate Actuary, Pricing is responsible for setting pricing assumptions to support Medicare Part D bids. The Associate Actuary, Pricing develops and maintains projections of drug utilization trends for Humana's Medicare Part D products to support pricing, forecasting, bid development, and strategic decision-making.Analyzes historical claims experience, emerging utilization patterns, member behavior, and market dynamics to identify key drivers of pharmacy cost trends and forecast future utilization at the drug, therapeutic class, and product levels.Leverages actuarial models, experience studies, and analytical tools to research root causes of utilization changes and capture actionable insights.Collaborates with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions appropriately reflect emerging experience, operational initiatives, and industry developments.Monitors external factors, including new drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts, to assess their influence on future utilization patterns.Communicates findings and recommendations to business partners and leadership, supporting sound forecasting and strategic planning decisions.Use your skills to make an impactRequired QualificationsBachelor's DegreeAssociate of Society of Actuaries (ASA) designationMAAAExcellent communication and interpersonal skills including the ability to translate complex topics to both technical and non-technical audiencesStrong analytical skillsPreferred QualificationsThree or more years of Pricing, Medicare and/or Part D experienceSAS/SQL/R/Databricks programming experienceExperience with Power BI dashboardsExperience with model building, exploratory analysis, and/or developing dashboardsHighly motivated and willing to learnAdditional InformationThis is a remote position.Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. 106,900 - $147,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 10-16-2026About usAbout Humana: Humana Inc. (These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.

Vacancy posted more than 2 months ago

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