Actuarial Analyst - Medicare Part D

$65,000 - $89,500/Yr

Humana - Trenton, NJ

Full-time - Entry Level

Remote - Trenton, NJ

Insurance Carriers and Related Activities

About the position

The Actuarial Analyst 1, Pricing is responsible for setting pricing assumptions, submitting bids, and filing premium rates with regulatory agencies. This role supports the implementation of rates, new plans, and benefit changes while providing guidance on cost impacts for new products. The analyst develops and maintains pricing tools and establishes financial metrics to align with profitability goals, analyzing market results and recommending pricing actions. The position requires collaboration with sales and other partners to develop strategies for profitable membership growth and accountability for actuarial certifications on rate filings.

Responsibilities

• Set pricing assumptions and submit bids.
• File and gain approval of premium rates and rate certifications with regulatory agencies.
• Support implementation of rates, new plans, and benefit changes.
• Provide guidance to Product Development on new product/benefit cost impacts.
• Develop and maintain pricing tools for standard and custom benefits.
• Establish market level financial metrics to align with segment profitability goals.
• Analyze market level results and projections.
• Develop recommended pricing actions to address gaps to targeted metrics.
• Research competitors in the marketplace and collaborate with sales to develop strategies for profitable membership growth.
• Accountable for actuarial certifications on rate filings.

Requirements

• Bachelor's Degree
• Successful completion of at least 1 actuarial exam
• Strong communication skills
• Strong data analytics skills and attention to detail

Nice-to-haves

• Basic understanding of Medicare Part D
• Prior experience with Microsoft Excel and SAS
• Bachelor's, or advanced degree, in a quantitative field

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Paid time off
• Company and personal holidays
• Volunteer time off
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance