Medicaid Pricing Actuary

Become a part of our caring community and help us put health first

The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and business needs for Medicaid product lines. The Actuary works on problems of diverse scope and complexity ranging from moderate to substantial.

The Medicaid Pricing Actuary may be responsible for any combination of capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, forecasting market-specific financial results, and ad hoc market support. The Actuary will advise executives to develop functional strategies (often segment specific) on matters of significance. They exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. The Actuary will use independent judgment requiring analysis of variable factors and determining the best course of action.

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
• Strong technical and communication skills
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
• 8 or more years of technical experience
• 2 or more years of project leadership experience
• Must be passionate about contributing to an organization focused on growing and developing best practices

Preferred Qualifications

• Knowledge of Medicaid regulations, programs, and state plan benefits
• Experience with capitation rate development from either the state agency or payer perspective
• Detailed understanding of healthcare claims

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 yearThis 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: 09-13-2025

About us

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 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, Medicaid, families, individuals, military service personnel, and communities at large.

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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.

Originally posted on Himalayas

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