Actuarial Director of Medicaid Pricing

4 days ago


Annapolis, Maryland, United States Humana Full time
Job Summary

We are seeking an experienced Actuarial Director to lead our Medicaid Pricing team. The successful candidate will have a strong background in actuarial science and a proven track record of driving business growth through data-driven decision making.

Key Responsibilities
  • Provide actuarial support across a broad range of actuarial and business needs for specific product lines.
  • Develop and implement actuarial models to inform pricing and valuation decisions.
  • Collaborate with cross-functional teams to drive business growth and improve operational efficiency.
  • Stay up-to-date with industry trends and regulatory changes to ensure compliance and competitiveness.
Requirements
  • 8 or more years of technical experience in actuarial science.
  • 5 or more years of management experience in a related field.
  • FSA or ASA certification, plus relevant advanced degree and/or other relevant professional designations.
  • MAAA certification.
  • Experience in more than three functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) and more than one product.
Preferred Qualifications
  • Master's degree in a related field.
  • Experience analyzing Medicaid capitation rates to identify rate adequacy issues.
  • Experience negotiating Medicaid capitation rates with State Medicaid agencies.
  • Experience collaborating with industry peers and trade associations to influence the Medicaid capitation rate.
  • Demonstrated leadership capability, with a proven track record of leading sizable staff.
  • Experience in leading other human capital leaders.
  • Strong Communication Skills.
What We Offer
  • A competitive salary range of $185,700 - $255,500 per year.
  • A bonus incentive plan based on company and/or individual performance.
  • A comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, and more.

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