Actuarial Director of Medicaid Pricing

4 weeks ago


Juneau, Alaska, United States Humana Full time
Lead Actuarial Expert for Medicaid Pricing

Humana seeks a seasoned actuarial professional to lead our Medicaid pricing efforts. As Director, Actuarial of Medicaid Pricing, you will provide strategic guidance and technical expertise to drive business growth and improve operational efficiency.

Key Responsibilities:

  • Develop and implement actuarial models to inform Medicaid pricing decisions
  • Collaborate with cross-functional teams to design and implement pricing strategies
  • Provide actuarial support for rate filing and regulatory compliance
  • Lead analytics and forecasting efforts to inform business decisions
  • Develop and maintain relationships with key stakeholders, including state Medicaid agencies and industry partners

Requirements:

  • 8+ years of technical experience in actuarial science or a related field
  • 5+ years of management experience, with a proven track record of leading high-performing teams
  • FSA or ASA certification, with advanced degree and/or relevant professional designations
  • Experience in Medicaid pricing, rate filing, and regulatory compliance
  • Strong analytical and communication skills, with ability to work effectively in a fast-paced environment

About Humana:

Humana is a leading health and well-being company, dedicated to putting health first for our customers and communities. We offer a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and paid time off. Join our team and contribute to our mission of improving health outcomes and enhancing the lives of those we serve.


  • Actuary

    2 weeks ago


    Juneau, Alaska, United States Highmark Health Full time

    Job SummaryThis role is an ASA Certified actuary position that initiates and leads the development of actuarial studies and analyses. The incumbent applies actuarial techniques and statistical analysis to various functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability...

  • Actuary Specialist

    3 weeks ago


    Juneau, Alaska, United States Highmark Health Full time

    Job SummaryThis role is an ASA Certified actuary position that initiates and leads the development of actuarial studies and analyses. The incumbent applies actuarial techniques and statistical analysis to various functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability...


  • Juneau, Alaska, United States Zurich NA Full time

    Job Title: Workers' Compensation Senior Actuarial ConsultantZurich North America is seeking a highly skilled Senior Actuarial Consultant to join our Technical Underwriting organization. This role will support our Workers' Compensation line of business and play a key part in delivering the product pricing representing over two billion dollars of premium...


  • Juneau, Alaska, United States KPMG Full time

    Pricing Analytics Director Job DescriptionKPMG is seeking a highly skilled Director, Pricing Analytics to join our Growth and Strategy organization.Responsibilities:Conduct in-depth pricing studies and analyses to support long-term growth goals, evaluating opportunities for pricing improvement and competitive price positioning.Develop and test pricing...


  • Juneau, Alaska, United States KPMG Full time

    Director, Negotiations Strategy and CoachingKPMG is seeking a seasoned professional to lead our negotiations strategy and coaching efforts. As a Director, you will be responsible for coaching client-facing leaders, pursuit teams, and firm leadership on negotiation, pricing, and commercial strategies.Key ResponsibilitiesCoach client-facing leaders, pursuit...

  • Pharmacy Director

    1 week ago


    Juneau, Alaska, United States Bartlett Regional Hospital Full time

    Job Summary:The Pharmacy Director at Bartlett Regional Hospital is responsible for overseeing the pharmacy department, including personnel and services provided. This role works closely with other hospital departments and the medical staff, as well as pharmaceutical vendors and the general public. The Director will act as a Pharmacist as needed to ensure...


  • Juneau, Alaska, United States State of Alaska Full time

    Job SummaryWe are seeking a highly skilled and experienced Northern Region Director to lead our transportation infrastructure team in the State of Alaska. As a key member of our leadership team, you will be responsible for overseeing the operations and organization of the Northern Region Division of DOT&PF, including administration, planning, design,...


  • Juneau, Alaska, United States Cardinal Health Full time

    Job Title: Director, Business DevelopmentAt Cardinal Health, we are seeking a highly skilled Director, Business Development to join our team. As a key member of our Navista organization, you will play a critical role in driving the growth of our oncology practice alliance.Job Summary:The Director, Business Development will be responsible for developing and...


  • Juneau, Alaska, United States State of Alaska Full time

    Job Title: Northern Region DirectorAre you a seasoned leader with a passion for public service and a commitment to excellence? We are seeking a dynamic and flexible leader to oversee critical transportation infrastructure in the Northern Region of Alaska.Job Summary:The Alaska Department of Transportation & Public Facilities (DOT&PF) is seeking a Division...

  • Tax Director

    4 weeks ago


    Juneau, Alaska, United States American Express Global Business Travel Full time

    About the RoleAmerican Express Global Business Travel is seeking a highly experienced Tax Director to lead our US Tax Compliance and Reporting team. As a key member of our Tax function, you will be responsible for managing our global tax affairs, including tax reporting, compliance, planning, and advice to the business.Key ResponsibilitiesLead a co-sourced...


  • Juneau, Alaska, United States Arc of Anchorage Full time

    Job Title: Records Management SpecialistJoin the Arc of Anchorage team as a Records Management Specialist and play a vital role in maintaining the organization's central file room and ensuring compliance with agency, state, and federal regulations.Job Summary:This position is responsible for managing the central file room and extended storage spaces in...


  • Juneau, Alaska, United States Bartlett Regional Hospital Full time

    Job Summary:The Pharmacy Director is responsible for overseeing the pharmacy department, including personnel and services provided. This role works closely with other hospital departments and the medical staff, as well as pharmaceutical vendors and the general public.Key Responsibilities:Develop and mentor staff to ensure professional growth and...


  • Juneau, Alaska, United States Bartlett Regional Hospital Full time

    Job Summary:The Pharmacy Director is responsible for overseeing the pharmacy department, including personnel and services provided. This role works closely with other hospital departments and the medical staff, as well as pharmaceutical vendors and the general public.Key Responsibilities:Develops and mentors staff to ensure professional growth and...


  • Juneau, Alaska, United States State of Alaska Full time

    Job DescriptionThe State of Alaska's Treasury Division is seeking a highly skilled Accountant 4 to join its Asset Accounting Section. As a key member of the team, you will be responsible for tracking and providing instruction to the custodial bank accounting entries related to the Alaska Retirement Management Board's (ARMB) alternative investments.Key...


  • Juneau, Alaska, United States Blood Bank of Alaska, Inc. Full time

    Job DescriptionJoin the Blood Bank of Alaska, Inc. team as a Juneau Center Supervisor and play a vital role in the collections team. As a supervisor, you will be responsible for overseeing the daily operational collection functions and related product processing workflow for the BBAJ Center.Key ResponsibilitiesOversight and coordination of the daily...


  • Juneau, Alaska, United States Central Council Tlingit & Haida Indian Tribes of Alaska Full time

    Job Title: Training and Development ManagerCentral Council Tlingit & Haida Indian Tribes of Alaska is seeking a highly skilled Training and Development Manager to oversee the planning, development, and execution of training programs and professional development initiatives for employees.Job SummaryThe Training and Development Manager will work closely with...

  • Senior Cashier

    4 weeks ago


    Juneau, Alaska, United States City & Borough of Juneau, AK Full time

    About the RoleWe are seeking a highly skilled and customer-focused Senior Cashier to join our team at Eaglecrest Ski Area. As a Senior Cashier, you will be responsible for providing exceptional customer service, operating a point-of-sale system, and managing cash transactions in a fast-paced environment.Key ResponsibilitiesProvide high-quality customer...

  • Senior Cashier

    3 weeks ago


    Juneau, Alaska, United States City & Borough of Juneau, AK Full time

    About the RoleWe are seeking a highly skilled and customer-focused Senior Cashier to join our team at Eaglecrest Ski Area. As a Senior Cashier, you will be responsible for providing exceptional customer service, operating a point-of-sale system, and managing cash transactions in a fast-paced environment.Key ResponsibilitiesProvide high-quality customer...


  • Juneau, Alaska, United States Central Council Tlingit & Haida Indian Tribes of Alaska Full time

    Job Title: Training and Development ManagerCentral Council Tlingit & Haida Indian Tribes of Alaska is seeking a highly skilled Training and Development Manager to oversee the planning, development, and execution of training programs and professional development initiatives for employees.Job Summary:The Training and Development Manager will work closely with...


  • Juneau, Alaska, United States Central Council Tlingit & Haida Indian Tribes of Alaska Full time

    Job SummaryThe Food and Beverage Manager is responsible for leading the food and beverage service staff in facilities to include Sacred Grounds, Smokehouse Catering, and events relating to Elizabeth Peratrovich. This role requires a high level of member service, ensuring a clean and safe environment, and meeting all financial goals for sales and expenses.Key...