Associate Actuary, Medicaid

Humana
$106,900 - $147,000Remote

About The Position

The Associate Actuary, General provides actuarial support across a broad range of actuarial and business needs for the IL Medicaid Market. The Medicaid Associate Actuary will be responsible for components of capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, forecasting market-specific financial results, and ad hoc market support for the state of Illinois. The Associate Actuary will advise executives to develop functional strategies (often segment specific) on matters of significance. They exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under supervision of an FSA Actuary.

Requirements

  • Bachelor's Degree
  • ASA plus advanced degree, recent and relevant work experience, and/or other relevant professional designations
  • Strong technical and communication skills
  • 3 or more years of technical experience

Nice To Haves

  • Knowledge of Medicaid regulations, programs, and state plan benefits
  • Experience with capitation rate development from either the state agency or payer perspective
  • Detailed understanding of healthcare claims
  • Experience developing Microsoft Power BI dashboards

Responsibilities

  • Components of capitation rate review
  • Drafting rate advocacy communications
  • Actual-to-expected business analytics
  • Forecasting market-specific financial results
  • Ad hoc market support for the state of Illinois
  • Advise executives to develop functional strategies on matters of significance
  • Exercise independent judgment and decision making on complex issues regarding job duties and related tasks

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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