Actuary, Pricing jobs in United States
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Humana · 1 month ago

Actuary, Pricing

Humana Inc. is committed to putting health first and is seeking an Actuary, Pricing to join their team. The role involves setting pricing assumptions, submitting bids, and collaborating with various departments to develop strategies for profitable membership growth while ensuring compliance with regulations.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies
Supporting implementation of rates, new plans and benefit changes
Providing guidance to Product Development on new product/benefit cost impacts
Developing and maintaining pricing tools that price standard and custom benefits
Establishing market level financial metrics to align with segment profitability goals
Analyzing market level results and projections and developing recommended pricing actions to address gaps to targeted metrics
Leveraging market level projections and experience data tools to research root cause and capture insights
Researching and understanding competitors in marketplace and collaborating 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
Advising executives to develop functional strategies (often segment specific) on matters of significance
Exercising independent judgment and decision making on complex issues regarding job duties and related tasks, and working under minimal supervision

Qualification

FSAASAMAAAPricing tools developmentMedicare Advantage experienceExperience in multiple functionsCommunication skillsProject management

Required

Bachelor's Degree
FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
MAAA
Strong communication skills
Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred

Medicare Advantage experience
Strong Communication Skills
Ability to manage large projects involving actuarial and non-actuarial staff

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase