[Remote] Actuary, Analytics/Forecasting at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

  • Bachelor's Degree
  • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
  • MAA
  • Strong communication skills
  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
  • Proficiency with at least one software coding language
  • 3+ years of SQL experience, preferably in SSMS

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
  • Advises executives to develop functional strategies (often segment specific) on matters of significance
  • Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, working under minimal supervision

Skills

Key technologies and capabilities for this role

SQLSSMSVBAPower PlatformAzure SynapseDatabricksPythonExcelactuarial modelingpricingrate filingreservingtrendingforecastingdata analysis

Questions & Answers

Common questions about this position

What is the salary range for this Actuary position?

The starting base pay range is $129,300 - $177,800 per year, which may vary based on geographic location, skills, knowledge, experience, education, and certifications. This job is also eligible for a bonus incentive plan based on company and/or individual performance.

Is this Actuary role remote?

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

What skills are required for this Actuary, Analytics/Forecasting role?

Required skills include a Bachelor's Degree, FSA or ASA plus relevant advanced degree or experience, MAAA, strong communication skills, experience in more than two actuarial functions (e.g., modeling, pricing), proficiency with at least one software coding language, and 3+ years of SQL experience preferably in SSMS.

What is the team structure for this role?

This role is part of a team that owns the Medicare Advantage pricing methodology and supporting tools in the ecosystem.

What makes a strong candidate for this Actuary position?

Strong candidates will have Medicare Advantage experience, SQL and VBA proficiency, experience with Power Platform, Azure Synapse, Databricks, or Python, and a strong desire to learn innovative technologies to transform actuarial work.

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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