Humana
Topeka, KS
Become a part of our caring community The 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. Key Responsibilities: Rate Advocacy 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 Partner with market CFOs and leadership to align on advocacy posture, trade-offs, and priorities Drive earlier engagement with states prior to draft rate development Represent the organization in external forums Financial Insight & Risk...

