Actuary, Part D Pricing

Humana
Albany, NY

Become a part of our caring community

The Actuary, Pricing sets pricing assumptions, submits bids, files and gains approval of premium rates and rate certifications with regulatory agencies. You will support implementation of rates, new plans and benefit changes. You will provide guidance to Product Development on new product/benefit cost impacts. You will develop and maintain pricing tools that price standard and custom benefits.

The Actuary, Pricing will report to the Associate Director, Actuarial Pricing. 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. You will leverage market level projections and experience data tools to research root cause and capture insights. You will research and understand competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for profitable membership growth. You will be accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations. You will advise executives to develop functional strategies (often segment specific) on matters of significance.

Use your skills to make an impact

Required Qualifications

  • Bachelor's Degree

  • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations

  • MAAA

  • 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)

Additional Information

Location: This is a remote position.

Benefits: Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

  • Health benefits effective day 1

  • Paid time off, holidays, volunteer time and jury duty pay

  • Recognition pay

  • 401(k) retirement savings plan with employer match

  • Tuition assistance

  • Scholarships for eligible dependents

  • Parental and caregiver leave

  • Employee charity matching program

  • Network Resource Groups (NRGs)

  • Career development opportunities

Work At Home / Internet Information:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$129,300 - $177,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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.

Application Deadline: 06-10-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?Humana.com?and at?CenterWell.com.

?

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, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Posted 2026-05-17

Recommended Jobs

Director, Model Risk Management

New York, NY

Risk | U.S. Model Risk Management | Model Risk Management Lead, Director | NYC About ING: In the Americas, ING’s Wholesale Banking division offers a broad range of innovative financial products…

View Details
Posted 2026-04-12

Senior Case Manager, Community Program Brooklyn

Safe Horizon, Inc.
New York, NY

Job Description Job Description Essential Job Functions: Learn and integrate a trauma-informed, client-centered approach, using an anti-oppressive lens, into your work with clients. Conduct…

View Details
Posted 2026-03-29

RN - Crisis Intervention

medstaffingnetwork
New York, NY

Job Description Job Description Duties:      • Engage the homeless on city streets, subways, and parks and conduct medical, mental health and safety assessments. • Encourage the street homeles…

View Details
Posted 2026-04-11

General Dentist with Pediatric Focus!

New York Family Dentistry
Brooklyn, NY

We are seeking a qualified General Dentist with pediatric experience to join our team and help provide exceptional patient care. We are seeking a motivated individual who is well detail-oriented and …

View Details
Posted 2026-04-24

Medical Assistance Specialist 1 (NY HELPS) - 79418

New York State Department of Health
Albany, NY

The duties that the incumbent of the vacancy will be expected to perform. Duties Description This Medical Assistance Specialist 1 (MAS 1) will work within the Division of Eligibility and Marketplace …

View Details
Posted 2026-05-06

Associate Vice President - 5033

BronxWorks
New York, NY

BronxWorks helps individuals and families improve their economic and social well-being. From toddlers to seniors, we feed, shelter, teach, and support our neighbors to build a stronger community. In …

View Details
Posted 2026-05-15

Digital Artist, Math Suite (Contract)

Amplify Education, Inc.
New York, NY

About Amplify Amplify helps teachers bring delight and rigor to students every day. We have become a leader in K–12 literacy, biliteracy, math, and science by building inspiring teaching and l…

View Details
Posted 2026-05-15

Quality Control Clerk

Randstad Technologies
Brentwood, NY

Are you looking to join a company that can provide great stability and a good work environment? We are currently looking for Quality Control Clerks to join a diverse team in Deer Park, NY. Would you …

View Details
Posted 2026-05-09

CDL Knuckle Boom Driver

Rochester, NY

Are you a skilled CDL driver looking for a rewarding opportunity where you can be home every night ? At QXO, we’re seeking a dedicated driver who takes pride in safety, service, and teamwork. As a …

View Details
Posted 2026-04-18

Specialty Sales (Style, Tech, Beauty, Ulta Beauty) (T1010)

Target
New York, NY

Starting Hourly Rate / Salario por Hora Inicial: $17.25 USD per hour ALL ABOUT TARGET Working at Target means helping all families discover the joy of everyday life. We bring that vision to lif…

View Details
Posted 2026-05-18