[Remote] Associate Actuary, Risk and Compliance at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, Financial ServicesIndustries

Requirements

Candidates must possess a Bachelor's degree and at least 5 years of technical experience. An Associate or Fellow of the Society of Actuaries (ASA or FSA) designation and MAAA membership are required, along with strong communication skills. Passion for improving consumer experiences is also a key requirement.

Responsibilities

The Associate Actuary, Risk and Compliance is responsible for managing and overseeing activities related to identifying and managing risks, including analyzing potential risks and estimating financial consequences. They will develop and recommend controls and cost-effective approaches to minimize risks, assess and communicate actuarial/business risks across the organization, and provide peer review and counsel on company, industry, and regulatory practices. Responsibilities also include monitoring actuarial techniques and researching relevant laws and regulations, influencing department strategy, and making decisions on technical approaches for project components.

Skills

Risk Management

Compliance

Actuarial Science

Data Analysis

Financial Analysis

Communication Skills

Problem-Solving

Regulatory Research

Insurance Operations

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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