Lead Actuary - PCO

Humana

2d • Remote

About The Position

The Lead Actuary, Analytics/Forecasting provides advanced analytical leadership and expertise in the analysis and forecasting of financial, economic, and other data to inform and support strategic and operational decisions. This role establishes and oversees key metrics and delivers complex data analyses. You will partner with senior leaders to drive business intelligence across the organization. The Lead Actuary evaluates industry, economic, financial, and market trends. You will forecast the organization's short, medium, and long-term financial and competitive position. The Lead Actuary, Analytics/Forecasting works on problems of substantial scope and complexity. The Lead Actuary, Analytics/Forecasting ensures enterprise-level data integrity by designing, implementing, and overseeing robust processes and controls for data management and flow. You will collaborate with a broad range of key stakeholders, including executives and high-level non-actuarial leaders, to understand complex business needs, proactively troubleshoot systemic issues, and lead root cause analyses. The Lead Actuary develops and implements cost-effective, strategic resolutions for data anomalies, ensuring alignment with organizational objectives. In addition to advising executives in the development of enterprise and departmental strategies on matters of significance, you will exercise advanced independent judgment and decision-making on highly complex technical and operational issues. The role operates with minimal supervision, applying expertise to interpret variable factors, determine optimal courses of action, and drive change across functions.

Requirements

• Bachelor's Degree from an accredited institution
• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
• MAAA
• Advanced experience verbally and written communicating with stakeholders
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Nice To Haves

• Experience in SAS, SQL, or other relevant experience

Responsibilities

• Provide advanced analytical leadership and expertise in the analysis and forecasting of financial, economic, and operational data to inform strategic and operational decisions.
• Establish, monitor, and refine key metrics to evaluate organizational performance and drive business intelligence.
• Deliver complex data analyses and insights to senior leaders, supporting executive decision-making.
• Evaluate industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position.
• Oversee end-to-end program evaluation, including ROI analysis, benchmarking, claims experience monitoring, and external vendor opportunity assessments.
• Identify actionable business opportunities and recommend solutions to enhance operational and financial performance.
• Collaborate with data science and cross-functional teams to develop and implement advanced analytical models and enhance analytic capabilities.
• Support strategic initiatives such as specialty and cost savings programs, value-based arrangements, and the development of advanced performance reporting and operational insights.
• Drive analytic strategy and develop innovative solutions to complex business problems, ensuring quality and compliance of actuarial deliverables.
• Serve as a senior resource for executive leadership, lead cross-functional initiatives, and mentor team members to build analytic capacity and consistency.
• Design, implement, and oversee robust processes and controls to ensure data management integrity and appropriate data flow across the enterprise.
• Proactively collaborate with key stakeholders—including executives and non-actuarial leaders—to understand business needs, troubleshoot systemic issues, and lead root cause analyses.
• Develop and implement cost-effective, strategic resolutions for data anomalies, ensuring alignment with organizational objectives.
• Advise executives on the development of enterprise and departmental strategies, exercising advanced independent judgment on highly complex technical and operational issues.
• Operate with minimal supervision, interpreting variable factors and determining optimal courses of action to drive change across functions.

Benefits

• medical
• dental
• 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

What This Job Offers

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