Humana Associate Actuary, Pricing - Individual Dental and Vision in Bethesda, Maryland
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.
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.
This job will work with individual Dental HMO & on-exchange dental products. Specifically, for those products, this role will be responsible for pricing analysis, product recommendations, rate filings, and experience reporting. Additionally, this job will support financial forecast and analytics for the entire individual dental & vision book. Existing models and reporting are based in Excel, VBA, and SQL, so experience with these tools is preferred.
Associate of Society of Actuaries (ASA) designation
Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Open to Humana actuarial traditional main offices, traditional hub locations, remote working locations, and WAH.
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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