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Actuarial Director – Medicaid Pricing at Humana | JobVerse
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Actuarial Director – Medicaid Pricing
Humana
Remote
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LinkedIn
Actuarial Director – Medicaid Pricing
United States
Full Time
6 days ago
$189,400 - $260,500 USD
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Key skills
Leadership
About this role
Role Overview
Lead proactive rate advocacy efforts across assigned Medicaid markets
Identify gaps between emerging experience vs. state rate assumptions
Develop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulators
Serve as the actuarial thought partner to market leadership, finance, and clinical teams
Collaborate with Finance, Health Care Economics, market operation teams
Lead and develop a team of actuaries; coach toward strategic thinking and storytelling
Requirements
Bachelor's degree
7 or more years of actuarial experience
Deep experience with Medicaid rate setting or state actuarial processes
Experience working directly with state agencies or consulting on Medicaid rates
5 or more years of management experience
FSA or ASA MAAA
Experience in more than three functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off including paid parental and caregiver leave
Short-term and long-term disability
Life insurance
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