Associate Actuary - Medicaid Trend
HumanaFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Candidates must possess a bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. A minimum of 5 years of experience in a health actuarial or healthcare analytics role is required, along with completion of 4+ actuarial exams and strong progress toward the ASA credential. Proficiency in Excel and data analysis tools such as SQL, R, or Python is essential, as are solid communication skills for translating complex data into business insights. Familiarity with stop-loss or level-funded health insurance products and prior experience in a high-growth setting are considered advantageous.
The Actuary, Healthcare Economics will analyze cost and utilization trends to inform product and pricing strategies. This role involves developing and maintaining routine claims experience reports, identifying key drivers of trend and variation, and supporting the evaluation of stop-loss experience and performance. Responsibilities also include collaborating with internal teams across actuarial, finance, and clinical functions, supporting the estimation and analysis of claims reserves, and assisting with the building and maintenance of actuarial models and tools for forecasting, reserving, and reinsurance. The position requires translating data into clear insights for business and clinical teams through dashboards, visualizations, and memos.
Health benefits and insurance solutions provider
Gravie provides health benefits by offering straightforward and affordable health plans, primarily targeting individuals and small to midsize businesses. Their main product, Comfort, stands out because it has no deductible and no copays for most common healthcare services, allowing members to access care without unexpected costs. Additionally, Comfort includes virtual care options for musculoskeletal and mental health issues. Gravie also offers a payment solution called Gravie Pay, which enables members to pay for healthcare expenses interest-free, further easing financial stress. Unlike traditional health plans, Gravie claims that Comfort members save on out-of-pocket costs, and employers switching to Gravie often see lower premium expenses. The company has a high retention rate, indicating that many employees choose to continue with the Comfort plan in subsequent years. Gravie's goal is to simplify health benefits and reduce the financial burden of healthcare for its members.