Associate Actuary

Humana

6d • $106,900 - $147,000 • Remote

About The Position

The Associate Actuary will support Medicare Market & Provider Finance with a focus on hospital unit cost financial impacts, provider reimbursement analytics, and actual-to-expected cost evaluation. You will develop and maintain analyses that assess hospital contract performance, support unit cost assumption development, and quantify the financial impact of provider and network strategies. You will partner with Network, Provider, Finance, and other cross-functional stakeholders to deliver clear, actionable insights using actuarial methods, claims data, reimbursement assumptions, and analytical tools.

Requirements

• Bachelor's Degree
• Associate of Society of Actuaries (ASA) designation
• MAAA
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• SQL or Python experience
• Microsoft Excel experience

Nice To Haves

• Healthcare claims knowledge
• Provider reimbursement/contracting experience

Responsibilities

• Develop and maintain hospital unit cost analytic models to evaluate provider reimbursement levels, contract performance, and network financial impacts.
• Perform actual-to-expected analyses to assess the appropriateness of unit cost assumptions and support assumption refinement.
• Quantify financial impacts related to hospital contracting changes, reimbursement updates, and provider-specific assumptions.
• Apply actuarial methods and business judgment to support scenario modeling, sensitivity analysis, and financial impact estimates.
• Build, validate, and maintain analyses using Excel and other analytical tools, including SQL Server and Databricks.
• Develop summarized reporting, dashboards, and executive-ready exhibits, including Power BI reports, to communicate hospital unit cost performance and modeled financial impacts.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level