Humana

Associate Actuary - Medicaid Trend

San Antonio, Texas, United States

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

Associate Actuary, Analytics/Forecasting

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. This role collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost-effective resolutions for data anomalies. The Associate Actuary begins to influence department’s strategy and makes decisions on moderately complex to complex issues regarding the technical approach for project components, working without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

This role will focus on doing ROI/evaluation analyses for relationships with external vendors as well as independent initiatives aimed at reducing cost, improving member health outcomes, or otherwise producing value within Humana's Medicaid block of business.

Key Skills and Focus Areas

  • Ability to critically think about how to measure value to Humana.
  • Ability to clearly communicate and defend the results of the analysis.
  • Strong technical skills.
  • Time management and organization skills.

Use your skills to make an impact!

Required Qualifications

  • Bachelor's Degree
  • Associate of Society of Actuaries (ASA) designation
  • MAAA
  • Strong communication skills
  • Strong technical skills
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Medicaid experience
  • SAS/SQL experience
  • Databricks experience
  • Experience with Microsoft Office suite
  • Prior ROI/evaluation work is a plus

Travel

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

Compensation

  • 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.
  • 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. Benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family, while also acknowledging that life extends beyond work. Benefits include:

  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance
  • Many other opportunities

Application Deadline

07-30-2025

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. Humana also takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and advance in employment individuals with disabilities or protected veterans.

Skills

Data Integrity
Data Flow
Problem Solving
Root Cause Analysis
ROI Analysis
Value Measurement
Communication
Technical Skills
Time Management
Organization
SAS
SQL
Databricks
Microsoft Office Suite

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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