Actuarial Director - Medicaid Pricing

Job Listing ID:

4474645

Job Title:

Actuarial Director -

Medicaid Pricing Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

04/17/2026

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

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 Identification Translate financial results into actionable insights Support reforecast cycles with clear articulation of financial drivers Identify opportunities to improve financial outcomes in maturing markets Market Partnership Serve as the actuarial thought partner to market leadership, finance, and clinical teams Collaborate with Finance, Health Care Economics, market operation teams Team Leadership Lead and develop a team of actuaries; coach toward strategic thinking and storytelling Standardize approaches to rate review, communication, and escalation of risks Use your skills to make an impact Required Qualifications 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) Preferred Qualifications Track record of leading cross-functional initiatives and influencing without authority Demonstrated leadership capability, has led sizable staff before Experience in leading other human capital leaders Additional Information Ability to travel up to 15% within the United States This is a remote position. Work At Home /

Internet Information:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At 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.

SSN Information:

Job Classification:

Actuaries Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A