Actuary, Valuation
Pearl HealthSalary not specified
Full Time
Entry Level & New Grad, Junior (1 to 2 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries
Requirements
Candidates must possess a Bachelor's Degree, an Associate of Society of Actuaries (ASA) designation, and MAAA accreditation. Strong communication and technical skills are essential, along with a passion for improving consumer experiences. Medicaid experience, SAS/SQL, Databricks, and Microsoft Office suite proficiency are preferred qualifications, as is prior ROI/evaluation work.
Responsibilities
The Associate Actuary will ensure data integrity through process development and controls, troubleshoot data anomalies, and conduct root cause analysis. This role involves performing ROI/evaluation analyses for vendor relationships and internal initiatives to reduce costs and improve member health outcomes within Humana's Medicaid business. Responsibilities include critically measuring value, clearly communicating analysis results, and managing time effectively.
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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