Associate Actuary, Pricing

About the role

The Associate Actuary, Pricing supports Medicare Part D bids by setting pricing assumptions, guiding product development on cost impacts, developing and maintaining pricing tools for standard and custom benefits, and projecting drug utilization trends to inform pricing, forecasting, bid development, and strategic decisions. This is a remote position; associates must meet home‑office internet speed requirements (minimum 25 Mbps download, 10 Mbps upload) and work from a dedicated space to protect member PHI/HIPAA information, with occasional travel to Humana offices for training or meetings.

Responsibilities

• Develop and maintain projections of drug utilization trends for Humana's Medicare Part D products.
• Analyze historical claims experience, emerging utilization patterns, member behavior, and market dynamics to identify key drivers of pharmacy cost trends and forecast future utilization at drug, therapeutic class, and product levels.
• Leverage actuarial models, experience studies, and analytical tools to research root causes of utilization changes and capture actionable insights.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions reflect emerging experience, operational initiatives, and industry developments.
• Monitor external factors such as new drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts to assess influence on future utilization patterns.
• Communicate findings and recommendations to business partners and leadership to support sound forecasting and strategic planning.
• Begin to influence department strategy through subject matter expertise in Medicare Part D utilization trends.

Requirements

• Bachelor's Degree
• Associate of Society of Actuaries (ASA) designation
• MAAA