Actuary, Valuation
Pearl HealthSalary not specified
Full Time
Entry Level & New Grad, Junior (1 to 2 years)
Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, FinanceIndustries
Requirements
Candidates must possess a Bachelor's degree, ASA and MAAA designations, and over 5 years of relevant work experience within a healthcare organization. Advanced SQL experience and strong written and verbal communication skills are required, along with demonstrated collaborative abilities. Preferred qualifications include FSA designation or a relevant advanced degree, experience with Medicare Part D, and familiarity with Risk Score Data and Python.
Responsibilities
The Actuary, Analytics/Forecasting will analyze and forecast financial, economic, and other data to support strategic and operational decisions, establishing metrics and supporting business intelligence. This role involves evaluating trends to forecast financial and competitive positions, ensuring data integrity, and collaborating with stakeholders to troubleshoot issues and develop solutions. Specifically, the Actuary will lead efforts to model future financial performance for Medicare Advantage Part D, incorporating historical trends, regulatory changes, and market dynamics, while partnering with pricing actuaries and Finance colleagues to guide projection assumptions and interpret results. The actuary will also communicate complex analytical findings to leadership to drive strategic decisions and improve forecast accuracy.
Skills
Actuarial Modeling
Financial Forecasting
Risk Adjustment
Medicare Advantage
SQL
Data Analysis
Business Intelligence
Financial Planning
Communication
Problem-Solving
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