Associate Actuary, Pricing

Become a part of our caring community The Associate Actuary, Pricing is responsible for setting pricing assumptions to support Medicare Part D bids. You will provide guidance to Product Development on new product/benefit cost impacts. You will develop and maintain pricing tools that price standard and custom benefits. The Associate Actuary, Pricing develops and maintains projections of drug utilization trends for Humana 's Medicare Part D products to support pricing, forecasting, bid development, and strategic decision-making. Analyzes historical claims experience, emerging utilization patterns, member behavior, and market dynamics to identify key drivers of pharmacy cost trends and forecast future utilization at the drug, therapeutic class, and product levels. Leverages actuarial models, experience studies, and analytical tools to research root causes of utilization changes and capture actionable insights. Collaborates with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions appropriately reflect emerging experience, operational initiatives, and industry developments. Monitors external factors, including new drug launches, loss…