Actuarial Director - Medicaid Pricing

Become a part of our caring communityThe Director, Actuarial of Medicaid Pricing provides actuarial support across a broad range of actuarial and business needs for specific product lines. You will require an in-depth understanding of how organization capabilities interrelate across the function or segment.The Director, Actuarial of Medicaid Pricing will report to the Associate VP, Lead Medicaid Actuary.Rate AdvocacyLead proactive rate advocacy efforts across assigned Medicaid marketsIdentify gaps between emerging experience vs. state rate assumptionsDevelop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulatorsPartner with market CFOs and leadership to align on advocacy posture, trade-offs, and prioritiesDrive earlier engagement with states prior to draft rate developmentRepresent the organization in external forumsFinancial Insight & Risk IdentificationTranslate financial results into actionable insightsSupport reforecast cycles with clear articulation of financial driversIdentify opportunities to improve financial outcomes in maturing marketsMarket PartnershipServe as the actuarial thought partner to market leadership, finance, and clinical teamsCollaborate with Finance, Health Care Economics, market operation teamsTeam LeadershipLead and develop a team of actuaries; coach toward strategic thinking and storytellingStandardize approaches to rate review, communication, and escalation of risksUse your skills to make an impactRequired QualificationsBachelor's degree7 or more years of actuarial experienceDeep experience with Medicaid rate setting or state actuarial processesExperience working directly with state agencies or consulting on Medicaid rates5 or more years of management experienceFSA or ASAMAAAExperience in more than three functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)Preferred QualificationsTrack record of leading cross-functional initiatives and influencing without authorityDemonstrated leadership capability, has led sizable staff beforeExperience in leading other human capital leadersAdditional InformationAbility to travel up to 15% within the United StatesThis is a remote position.Work At Home / Internet InformationAt minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours: 40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$189,400 - $260,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services.J-18808-Ljbffr