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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and executing pricing strategies for Medicare Advantage products, including regulatory compliance and actuarial certifications. Proficient in analyzing financial metrics and market projections to drive profitable membership growth and inform product development.
Highest-signal resume keywords
Pricing Strategy DevelopmentRegulatory Rate FilingsActuarial CertificationsFinancial Metrics AnalysisMarket Projections
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Pricing AssumptionsBids PreparationForecasting Cycles ManagementCost Impact AnalysisData AnalysisModelingRate FilingReportingReservingTrending
Soft Skills
Effective CommunicationCollaboration
Tools & Technologies
Experience-Data ToolsPricing Tools
Certifications & Qualifications
FSAASAMAAA
Industry Keywords
Medicare AdvantagePHIHIPAASegment ProfitabilityCompetitive Landscape
About the role
Key responsibilities & impact- Develop and execute pricing strategies for Medicare Advantage products
- Establish pricing assumptions
- Prepare and submit bids
- Support regulatory rate filings and certifications
- Help implement rates, new plans, and benefit changes
- Advise Product Development on the cost impact of new products and benefits
- Develop and maintain pricing tools for standard and customized offerings
- Establish market-level financial metrics aligned with segment profitability goals
- Analyze results and projections
- Recommend pricing actions to address performance gaps
- Manage forecasting cycles aligned with government-established timelines
- Use market projections and experience-data tools to identify root causes and develop actionable insights
- Monitor the competitive landscape
- Collaborate with market partners to support profitable membership growth
- Provide actuarial certifications related to rate filings and attest to compliance with state and federal rating and benefit regulations
- Advise executives on significant, segment-specific functional strategies
- Report to the Director, Actuarial Pricing
- Travel occasionally to Humana offices for training or meetings
Requirements
What you’ll need- Bachelor's Degree
- FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
- MAAA
- Ability to articulate ideas effectively in written and oral forms
- Experience in more than two functions, such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending
- Willingness to accommodate a work schedule according to Eastern Time Zone (EST)
- Minimum home internet download speed of 25 Mbps
- Minimum home internet upload speed of 10 Mbps
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Personal wellness support
- Smart healthcare decision support