Associate Actuarial Director – Individual Medicare Advantage

Humana

. Set pricing assumptions, submit bids, and file and gain approval of premium rates and rate certifications with regulatory agencies .

Posted 9/18/2026full-timeRemote • United StatesLead💰 $156,600 - $215,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicare Advantage bid filing, pricing strategy, and regulatory compliance, with strong analytical skills to support financial decision-making and product development. Proven ability to lead teams and collaborate across functions to drive profitable growth and ensure adherence to state and federal regulations.

Highest-signal resume keywords

Medicare Advantage Bid FilingFSA, ASA, or MAAA CertificationPricing Strategy DevelopmentRegulatory ComplianceTeam Leadership

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Pricing AssumptionsRate CertificationsMarket-Level Financial MetricsForecastingData AnalysisModelingReporting and AnalysisReservingTrending

Soft Skills

Effective CommunicationCollaboration

Tools & Technologies

Pricing ToolsExperience Data Tools

Certifications & Qualifications

FSAASAMAAA

Industry Keywords

Medicare AdvantageRegulatory AgenciesCompliancePHI/HIPAAMembership Growth Strategies

About the role

Key responsibilities & impact

Set pricing assumptions, submit bids, and file and gain approval of premium rates and rate certifications with regulatory agencies
Support implementation of rates, new plans, and benefit changes
Provide guidance to Product Development on new product and benefit cost impacts
Develop and maintain pricing tools for standard and custom benefits
Establish market-level financial metrics aligned with segment profitability goals
Analyze market-level results and projections and recommend pricing actions
Research root causes using market-level projections and experience data tools
Research competitors and collaborate with market partners on profitable membership growth strategies
Provide actuarial certifications on rate filings and attest to compliance with state and federal rating and benefit regulations
Lead 2–3 Medicare Advantage regions
Review individual Medicare Advantage bids for accuracy and compliance
Support recurring forecasts and provide financial guidance to leadership
Participate in cross-functional work groups
Manage 2–3 direct reports and a total team of 4–7 associates

Requirements

What you’ll need

Bachelor’s degree
5 or more years of experience in Medicare Advantage bid filing
FSA, ASA, or MAAA
Experience in more than three functions, such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending
Experience with more than one product
Ability to articulate ideas effectively in written and oral forms
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Home internet with at least 25 Mbps download and 10 Mbps upload speed
Willingness and ability to occasionally travel to Humana offices for training or meetings

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Internet expense payment for employees who live and work from home in California, Illinois, Montana, or South Dakota
Telephone equipment appropriate to business requirements
Remote work arrangement
Occasional travel to Humana offices for training or meetings