[Remote] Actuary, Valuation at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
N/AExperience Level
N/AJob Type
Not SpecifiedVisa
N/AIndustries

Requirements

  • Bachelor's Degree
  • ASA or FSA designation
  • Member of the American Academy of Actuaries
  • Meets the basic education requirements for issuing statements of actuarial opinion (SOAs)
  • 3 or more years of actuarial work experience
  • Passionate about contributing to an organization focused on continuously improving consumer experiences
  • Strong communication skills
  • Ability to translate technical issues for non-Actuarial audiences

Responsibilities

  • Responsible for estimates of short term and long term reserves required for unpaid claim liability, active life reserves, and other actuarial items
  • Establish appropriate margins and premium deficiency reserves for monthly, quarterly, and annual financial statement reporting
  • Partner with Finance for internal & statutory reporting
  • Complete asset adequacy testing in support of the Actuarial Opinions and Actuarial Memorandums for the Appointed Actuary
  • Handle actuarial reserves and risk control aspects of state Department of Insurance examinations, external auditors, and internal auditing of reserves and liabilities
  • Advise executives to develop functional strategies (often segment specific) on matters of significance
  • Exercise independent judgment and decision making on complex issues regarding job duties and related tasks
  • Report to an Associate VP in Actuarial Valuation
  • Have significant exposure to Humana’s Appointed Actuary and Senior Leaders throughout the Finance Organization

Skills

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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