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Actuary, Pricing

Company: Humana Inc.
Location: Milwaukee
Posted on: March 17, 2019

Job Description:

Description The 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 Actuary, Pricing works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. At Humana, the Market Risk Management Actuarial team is at the heart of executing on the strategic priorities for the Employer Group segment. Our teams drive business results by developing strategies and pricing actions at the market level to achieve profitability and membership targets. An Actuary on this team serves as a regional lead, manages a team of 1-3 actuaries, and oversees several Employer Group markets. Key responsibilities for the Actuary include: * Manage a team of 1-3 actuaries to develop, retain, and grow talent * Oversee the actuarial functions for several Employer Group markets * Peer review and provide sign-off for state and federal rate filings and rate certifications * Establish market specific pricing targets that achieve nationwide segment guidance * Evaluate market level financial projections to investigate and analyze gaps in actual performance to expectation * Collaborate with key business partners (actuarial and non-actuarial) to understand market dynamics and innovate market level growth initiatives * Communicate and present rate recommendations and market financial results to senior leaders and other key stakeholders * Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision Required Qualifications * Bachelor's Degree * FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. * MAAA * Strong communication skills * Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) Preferred Qualifications * Access, SQL * Experience working with the markets or sales in Commercial or Medicare environments * Interest in leading actuarial students (2 direct reports) * Ability to collaborate and build relationships with non-actuarial business partners Additional * Ability to work in one of the following cities: Green Bay, Milwaukee, Louisville or Chicago. Scheduled Weekly Hours 40SDL2017

Keywords: Humana Inc., Milwaukee , Actuary, Pricing, Accounting, Auditing , Milwaukee, Wisconsin

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