Actuarial Analyst 2 Medicare Supplement Pricing

Profile

Description

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.

Responsibilities

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 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.

The Actuarial Analyst 2 role in this position will include the following main responsibilities:

Prepare rate recommendations and filings for a select number of Medicare Supplement states

Address questions from state DOIs regarding submitted rate filings

Develop and maintain tools/reports utilized in the filing process

Required Qualifications

Bachelor's Degree

Successful completion of at least 3 actuarial exams

At least 1-2 years of full time actuarial experience

Meets requirements for Humana's Actuarial Professional Development Program (APDP)

Strong communication skills

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Experience in the health care industry

Strong skills in Excel, Access, SQL, and/or SAS

Additional Information

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com