Humana

Actuarial Analyst 2, Pricing

San Antonio, Texas, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, InsuranceIndustries

Actuarial Analyst 2, Pricing

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Actuarial Analyst 2, 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 Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Actuarial Analyst 2, 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 the 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Use your skills to make an impact.

Requirements

  • Education: Bachelor's Degree
  • Experience: Successful completion of at least 3 actuarial exams
  • Skills: Strong communication skills
  • Passion: Must be passionate about contributing to an organization focused on continuously improving consumer experiences

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 for standard and custom benefits
  • Establishing market-level financial metrics to align with segment profitability goals
  • Analyzing market-level results and projections
  • 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 the marketplace
  • Collaborating with sales and other partners 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

Work Environment & Travel

  • Location Type: Remote
  • Travel: Occasional travel to Humana's offices for training or meetings may be required.
  • Scheduled Weekly Hours: 40

Compensation & Benefits

  • Pay Range: $80,900 - $110,300 per year
    • Note: This is a good faith estimate of starting base pay. The actual pay may be higher or lower based on geographic location and individual factors such as demonstrated job-related skills, knowledge, experience, education, and certifications.
  • Bonus: This job is eligible for a bonus incentive plan based on company and/or individual performance.
  • Benefits: Humana offers competitive benefits supporting whole-person well-being, including:
    • Medical, dental, and vision benefits
    • 401(k) retirement savings plan
    • Time off (paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
    • Short-term and long-term disability
    • Life insurance
    • Many other opportunities

Application Information

  • Application Deadline: 06-26-2025

About Humana

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for millions of people to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, or veteran status.

Skills

Actuarial exams
Pricing assumptions
Rate filings
Regulatory compliance
Market analysis
Financial metrics
Data analysis
Communication skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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