Humana

Actuary, Valuation

San Antonio, Texas, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Insurance, Health InsuranceIndustries

Requirements

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.

Responsibilities

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.

Skills

Actuarial
Reserves
Unpaid claim liability
Active life reserves
premium deficiency reserves
asset adequacy testing
Appointed Actuary
statutory reporting
SOA
ASA
FSA
American Academy of Actuaries
communication
translate technical issues
health actuarial
internal auditing
external auditors
risk control

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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