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Homeoffice Actuary - Lead

Humana · Remote Nationwide · États-Unis d'Amérique · Remote

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Become a part of our caring community and help us put health first
 

The Lead Actuary supports critical tool/data infrastructure projects including capitation data improvement and value based projection model enhancements to address regulatory requirements and enhance the pricing/forecasting process. Establishes metrics, provides data analyses, and works directly to support business intelligence. The Lead Actuary works on problems of diverse scope and complexity ranging from moderate to substantial.

The Lead Actuary 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. The Lead Actuary will support identification and implementation of infrastructure enhancements and new capabilities to support staying ahead of regulatory mandated changes, business driven needs, and capacity for expansion focus on support of evaluations of value based contracting and reporting. Key focus on creating capacity through efficiency in existing processes including robust changes to infrastructure of existing tools/pricing methodology.


Use your skills to make an impact
 

Required Qualifications

  • Bachelor's Degree
  • FSA, recent and relevant work experience, and/or other relevant professional designations.
  • MAAA
  • Strong communication skills
  • Strong organizational and planning skills
  • Strong technical skills, expertise in SQL and VBA

Preferred Qualifications

  • Proficient in infrastructure design and management

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. 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.


 

$129,300 - $177,800 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.

Application Deadline: 04-29-2025


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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.