Associate Actuary, Medicaid Trend Analytics

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. This role involves evaluating economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. You will prepare trend analytics on a monthly and ad hoc basis, providing accurate and timely information for strategic and operational decision-making. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers, utilization patterns, and economic insights to support each Humana Medicaid market. The ideal candidate combines actuarial expertise with a deep understanding of healthcare data to enhance internal actuarial models and develop new tools that support strategic decision-making. Technical expertise and coding experience are key skills needed for this role, as daily activities will involve creating, modifying, and reviewing logic in various coding platforms. This role involves collaboration with stakeholders to understand business needs and develop analytic solutions to complex problems. You will begin to influence department strategy and make decisions on moderately complex to complex issues regarding the technical approach for project components, working without direction. You will exercise considerable latitude in determining objectives and approaches to assignments.

As an Associate Actuary on the Medicaid Trend Analytics team, you will play a critical role in identifying, quantifying, and explaining healthcare cost and utilization trends. You will work together with a team of actuaries to understand business needs, troubleshoot issues, develop efficient resolutions for data anomalies, and conduct actuarial modeling. You will regularly synthesize and present trend drivers to leadership in a clear and concise manner. This role focuses on non-inpatient analytics, supporting the Early Indicator Report (EIR) team. Use your skills to make an impact.

Requirements

• Required Qualifications:

  • Bachelor's Degree in Actuarial Science, Mathematics, Statistics, or related field
  • ASA or FSA designation, MAAA
  • 2+ years of actuarial experience in health insurance and/or medical claims analytics
  • Proficiency in data analysis and one or more statistical programming languages (e.g., SAS, Databricks, SQL, or Python)
  • Experience building, monitoring, and enhancing complex actuarial models

• Preferred Qualifications:

  • Strong communication skills
  • Strong working knowledge of healthcare claims as it relates to trend analytics, total cost of care management, and/or healthcare economics functions
  • Medicaid experience
  • Leadership/project management skills and ability to manage multiple projects simultaneously
  • Experience with Power BI or other data visualization software
  • Familiarity with predictive models, machine learning algorithms, and/or generative AI

Responsibilities

• Evaluate economic, financial, and market trends to forecast organizational position.
• Prepare trend analytics on a monthly and ad hoc basis.
• Develop, monitor, and communicate cost trend drivers, utilization patterns, and economic insights for Medicaid markets.
• Enhance internal actuarial models and develop new tools for strategic decision-making.
• Create, modify, and review logic in various coding platforms.
• Collaborate with stakeholders to understand business needs and develop analytic solutions.
• Identify, quantify, and explain healthcare cost and utilization trends.
• Troubleshoot issues, develop resolutions for data anomalies, and conduct actuarial modeling.
• Synthesize and present trend drivers to leadership.
• Support the Early Indicator Report (EIR) team with non-inpatient analytics.

Travel

• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Compensation and Benefits

• Scheduled Weekly Hours: 40
• Pay Range: $106,900 - $147,000 per year
  • Note: The compensation range reflects a good faith estimate of starting base pay. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, certifications, etc.
• Bonus Incentive Plan: This job is eligible for a bonus incentive plan based on company and/or individual performance.
• Benefits: Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare.

Company Information

Humana, Inc. is committed to putting health first.