Humana Associate Actuary, Medicare Rx in PNC, United States

Description

This position will be responsible for analyzing the impact of proposed regulatory changes impacting Medicare Part D and communicating results to leadership. This individual will also be responsible for forecasting Part B pharmacy expenditures. This will include developing and maintaining the projection model, setting assumptions, and communicating results to various leaders. This position may also include various assignments related to bids and supporting documentation, Part D forecast modeling, and other ad hoc requests.

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 communication

Preferred Qualifications

  • SAS experience

  • Medicare experience

Additional Information

Scheduled Weekly Hours

40

About Us

Equal Opportunity Employer

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