Medicaid Pricing Actuary

Humana

9d • Remote

About The Position

Become a part of our caring community and help us put health first The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and business needs for Medicaid product lines. You will work on problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Pricing Actuary will report to the Lead Pricing Actuary (Market Manager). You may be responsible for any combination of capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, forecasting market-specific financial results, and ad hoc market support. You will advise executives to develop functional strategies (often segment specific) on matters of significance. You will exercise independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. You will use independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact

Requirements

• Bachelor's Degree
• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
• MAAA
• Strong technical skills
• 7+ years of technical experience
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Nice To Haves

• Knowledge of Medicaid regulations, programs, and state plan benefits
• Experience with capitation rate development from either the state agency or payer perspective
• Detailed understanding of healthcare claims
• 2+ years of project leadership experience

Responsibilities

• capitation rate review
• drafting rate advocacy communications
• actual-to-expected business analytics
• forecasting market-specific financial results
• ad hoc market support

Benefits

• Humana provides 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 and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level