[Remote] Actuarial Analyst at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Bachelor's Degree
Successful completion of at least 3 actuarial exams
Strong communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Responsibilities

Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions
Establishes metrics and provides data analyses to support business intelligence
Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position
Ensures data integrity by developing and executing necessary processes and controls around the flow of data
Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost-effective resolutions for data anomalies
Compiles and analyzes data, develops methodology, and forecasts results for reporting to enterprise leaders focused on Humana's Star Rating measure performance
Works closely with operational business partners and actuarial peers to determine scope and direction of work while providing valuable input to the business

Skills

Key technologies and capabilities for this role

Actuarial AnalysisData AnalysisForecastingFinancial ModelingHealthcare EconomicsStar RatingsBusiness IntelligenceRoot Cause AnalysisData IntegritySQLExcelSAS

Questions & Answers

Common questions about this position

What is the salary range for the Actuarial Analyst position?

The starting base pay range is $80,900 - $110,300 per year for full-time employment, which may vary based on location, skills, experience, education, and certifications. This position is also eligible for a bonus incentive plan.

Is this Actuarial Analyst role remote?

Yes, this is a remote position, though occasional travel to Humana's offices for training or meetings may be required.

What are the required qualifications for this role?

Candidates must have a Bachelor's Degree, successful completion of at least 3 actuarial exams, and strong communication skills. Passion for improving consumer experiences is also required.

What is the team like for this Actuarial Analyst position?

You will be part of the HealthCare Economics team focused on evaluating programs and interventions related to Humana's Star Rating measure performance, working closely with operational business partners and actuarial peers in a collaborative environment.

What makes a strong candidate for this Actuarial Analyst role?

Strong candidates will have a Bachelor's Degree, at least 3 passed actuarial exams, strong communication skills, and preferably 2+ years of healthcare actuarial experience, SAS coding skills, Medicare experience, and familiarity with CMS Star Ratings.

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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