Actuary - Primary Care Organization

Humana

2d • Remote

About The Position

Become a part of our caring community The Actuary, Analytics/Forecasting 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. The Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial. The Actuary, Analytics/Forecasting 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. Shift: Mon-Fri 8am-5pm CST or EST Use your skills to make an impact Responsibilities Collaborate with stakeholders to understand business needs, identify issues, and develop actionable insights into drivers of medical claims trends. Provide strategic guidance to executives on matters of significance by leveraging strong communication skills to collaborate effectively with stakeholders, present findings to leadership, and document actuarial analyses in accordance with ASOP 41, Actuarial Communications. Exercise independent judgment and make sound decisions on complex actuarial matters while working with minimal supervision and determining appropriate courses of action based on varying factors. Analyze and forecast financial, economic, and business data by applying technical knowledge, industry insights, and actuarial modeling to inform strategic and operational decision-making and assess the organization’s financial and competitive position over the short, medium, and long term. Conduct root cause analyses, establish metrics, and deliver data-driven insights and cost-effective solutions to address data-related issues and support business intelligence initiatives.

Requirements

• Bachelor's Degree
• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
• MAAA
• Strong communication skills
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Nice To Haves

• SAS, SQL, Snowflake or other relevant experience

Responsibilities

• Collaborate with stakeholders to understand business needs, identify issues, and develop actionable insights into drivers of medical claims trends.
• Provide strategic guidance to executives on matters of significance by leveraging strong communication skills to collaborate effectively with stakeholders, present findings to leadership, and document actuarial analyses in accordance with ASOP 41, Actuarial Communications.
• Exercise independent judgment and make sound decisions on complex actuarial matters while working with minimal supervision and determining appropriate courses of action based on varying factors.
• Analyze and forecast financial, economic, and business data by applying technical knowledge, industry insights, and actuarial modeling to inform strategic and operational decision-making and assess the organization’s financial and competitive position over the short, medium, and long term.
• Conduct root cause analyses, establish metrics, and deliver data-driven insights and cost-effective solutions to address data-related issues and support business intelligence initiatives.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees