Actuary, Valuation
Pearl HealthFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Candidates must possess a Bachelor's degree and an ASA or FSA designation, along with membership in the American Academy of Actuaries. They need to meet the basic education requirements for issuing statements of actuarial opinion and have at least 3 years of actuarial work experience. Strong communication skills and the ability to translate technical issues for non-actuarial audiences are essential. Preferred qualifications include 5 or more years of relevant health-related actuarial work experience and 1 or more years of experience with health insurance valuation topics, as well as independent consulting ability and holistic project thinking.
The Actuary, Valuation is responsible for estimating short-term and long-term reserves for unpaid claim liability, active life reserves, and other actuarial items, including appropriate margins and premium deficiency reserves for financial statement reporting. This role involves completing asset adequacy testing for Appointed Actuary Opinions and Memorandums, handling actuarial reserves and risk control aspects of regulatory examinations, and advising executives on functional strategies. The position requires exercising independent judgment and decision-making on complex issues with minimal supervision.
Health insurance provider for seniors and military
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.