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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in developing and executing pricing strategies for Medicare Advantage products, including regulatory compliance and actuarial certifications. Strong analytical skills to assess market projections and financial metrics aligned with profitability goals.
Highest-signal resume keywords
Pricing Strategy DevelopmentActuarial CertificationsRegulatory Rate FilingsFinancial Metrics AnalysisMarket Projections Analysis
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 AssumptionsBidding PreparationForecasting Cycles ManagementCost Impact AnalysisData AnalysisModelingRate FilingReporting & AnalysisReservingTrending
Soft Skills
Effective CommunicationCollaboration
Tools & Technologies
Experience-Data ToolsPricing Tools
Certifications & Qualifications
FSAASAMAAA
Industry Keywords
Medicare AdvantagePHI/HIPAA ComplianceSegment ProfitabilityCompetitive Landscape MonitoringMembership Growth
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 and recommend pricing actions
- Manage forecasting cycles aligned with government-established timelines
- Identify root causes and develop actionable insights using market projections and experience-data tools
- Monitor the competitive landscape
- Collaborate with market partners to support profitable membership growth
- Provide actuarial certifications for 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
- Occasionally travel 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
- Demonstrated ability to articulate ideas effectively in both written and oral forms
- Experience in more than two functions, such as modeling, pricing, rate filing, reporting & analysis, reserving or trending
- Willingness to accommodate a work schedule according to Eastern Time Zone (EST)
- Home internet with at least 25 Mbps download and 10 Mbps upload speed
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based upon 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
- Wellness and smart healthcare decision support
- Remote work arrangement