[Remote] Associate Actuary, Analytics/Forecasting at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Insurance, Health InsuranceIndustries

Requirements

Bachelor's Degree
Associate of Society of Actuaries (ASA) designation
Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
Member of the American Academy of Actuaries
Strong communication skills
Successful completion of at least 3 actuarial exams
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Responsibilities

Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions
Establishes metrics and provides data analyses 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
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
Standard reporting of VBC programs to track provider experience (tracking financial, operational, and quality metrics)
Financial modeling for financial impacts of various home health initiatives
Advanced analytics, trend detection, and deep-dive research to develop new metrics for the department
Begins to influence department’s strategy and makes decisions on moderately complex to complex issues regarding technical approach for project components
Works on pricing contracts, forecasting savings, and handling various ad-hoc analytical projects

Skills

Key technologies and capabilities for this role

Actuarial AnalysisFinancial ForecastingData AnalysisAnalyticsBusiness IntelligencePricingValue-Based CareRoot Cause AnalysisSQLExcelStatistical Modeling

Questions & Answers

Common questions about this position

Is this role remote?

Yes, this role is remote.

What are the required qualifications for this position?

Required qualifications include a Bachelor's Degree, Associate of Society of Actuaries (ASA) designation, eligibility for Humana's Actuarial Professional Development Program (APDP), membership in the American Academy of Actuaries, strong communication skills, successful completion of at least 3 actuarial exams, and passion for improving consumer experiences.

What is the salary for this position?

This information is not specified in the job description.

What is the team and work environment like?

This is a newly established and rapidly growing team within Humana's Home organization, focused on value-based care strategies for home health, with work built from the ground up to support evolving goals and deliver high-quality care to members in their home environments.

What makes a strong candidate for this role?

Strong candidates will have the required actuarial credentials including ASA designation and at least 3 exams passed, strong communication skills, and preferred experience in SAS, SQL, Power BI, Medicare Advantage, or health insurance, plus the ability to thrive in a fast-paced environment.

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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