San Antonio, TX, United States
At Humana, the Market Risk Management Actuarial team is at the heart of executing on the strategic priorities for the Employer Group segment. Our teams drive business results by developing strategies and pricing actions at the market level to achieve profitability and membership targets. The Large Employer Actuary oversees all market focused actuarial functions for several large employer group markets.
Key responsibilities for the Large Employer Actuary include:
Oversee the actuarial functions for several employer group markets with a focus on the large group segment.
Consultation on pricing strategy, custom product pricing, and trend estimates for fully insured and self-funded large employer groups.
Peer review and provide sign-off for state and federal rate filings and rate certifications
Establish market specific pricing targets that achieve nationwide segment guidance
Evaluate market level financial projections to investigate and analyze gaps in actual performance to expectations
Collaborate with key business partners (actuarial and non-actuarial) to understand market dynamics and innovate market level growth initiatives
Communicate and present rate recommendations and market financial results to senior leaders and other key stakeholders
Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.
FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
Strong communication skills
Relevant experience pricing in commercial large group (product pricing, financial modeling, experience analysis, rate filings, underwriting support & strategy)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience working with the markets or sales in Commercial or Medicare environments
Ability to collaborate and build relationships with non-actuarial business partners
Rate filing experience
Presentation skills or strong desire to practice presentation skills
Collaborator and team-player
Mkt Ofc, Green Bay, Milwaukee, Waukesha or Louisville, KY
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact email@example.com for assistance.
Humana Safety and Security
Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact firstname.lastname@example.org to validate the request.
Website : http://www.humana.com