[Remote] Associate Actuary - Medicaid Trend at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's Degree
Associate of Society of Actuaries (ASA) designation
MAAA
Strong communication skills
Strong technical skills
Passionate about contributing to an organization focused on continuously improving consumer experiences
Medicaid experience (Preferred)
SAS/SQL experience (Preferred)
Databricks experience (Preferred)
Experience with Microsoft office suite (Preferred)
Prior ROI/evaluation work is a plus (Preferred)

Responsibilities

Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions
Establishes metrics, provides data analyses, and works directly 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
Begins to influence department’s strategy
Makes decisions on moderately complex to complex issues regarding technical approach for project components
Performs work without direction
Exercises considerable latitude in determining objectives and approaches to assignments
Focused on Medicaid trend analytics and program evaluation

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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