Associate Actuary, Pricing

Stellenbeschreibung:

Set pricing assumptions to support Medicare Part D bids
Provide guidance to Product Development on new product and benefit cost impacts
Develop and maintain pricing tools for standard and custom benefits
Develop and maintain projections of drug utilization trends for Humana's Medicare Part D products
Support pricing, forecasting, bid development, and strategic decision-making
Analyze historical claims experience, emerging utilization patterns, member behavior, and market dynamics
Identify key drivers of pharmacy cost trends and forecast future utilization at drug, therapeutic class, and product levels
Use actuarial models, experience studies, and analytical tools to research utilization changes and capture actionable insights
Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams
Monitor new drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts
Communicate findings and recommendations to business partners and leadership
Influence department strategy through subject matter expertise in Medicare Part D utilization trends

Requirements

Bachelor's Degree
Associate of Society of Actuaries (ASA) designation
MAAA
Excellent communication and interpersonal skills, including the ability to translate complex topics to both technical and non-technical audiences
Strong analytical skills
Three or more years of Pricing, Medicare and/or Part D experience (preferred)
SAS/SQL/R/Databricks programming experience (preferred)
Experience with Power BI dashboards (preferred)
Experience with model building, exploratory analysis, and/or developing dashboards (preferred)
Highly motivated and willing to learn (preferred)
Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

Core Competencies

Demonstrates expertise in pricing strategies and Medicare Part D, utilizing analytical tools and actuarial models to inform decision-making and forecast drug utilization trends. Strong communication skills facilitate collaboration across teams and the translation of complex data into actionable insights.