[Remote] Actuary - Trend Analytics and Forecasting at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
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
  • MAAA
  • Strong communication skills
  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Responsibilities

  • Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions
  • Establishes metrics, provides data analyses, and works directly 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
  • Works on problems of diverse scope and complexity ranging from moderate to substantial
  • 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, and works under minimal supervision
  • Uses independent judgment requiring analysis of variable factors and determining the best course of action

Skills

Key technologies and capabilities for this role

Actuarial AnalysisForecastingTrend AnalyticsFinancial ModelingData IntegrityRoot Cause AnalysisMAAAFSAASAPricingRate FilingReservingTrendingBusiness Intelligence

Questions & Answers

Common questions about this position

Is this position remote?

Yes, this is a remote nationwide position.

What qualifications are required for this role?

A Bachelor's Degree is required, along with FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations, MAA, strong communication skills, and experience in more than two functions such as modeling, pricing, rate filing, reporting & analysis, reserving or trending.

What is the salary for this position?

This information is not specified in the job description.

What does Humana's company culture emphasize?

Humana emphasizes becoming part of a caring community and helping to put health first.

What makes a strong candidate for this Actuary role?

Strong candidates will have FSA or ASA credentials with an advanced degree or equivalent experience, MAA designation, strong communication skills, and hands-on experience across multiple actuarial functions like modeling, pricing, and trending.

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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