Lead Actuary - Value-Based Provider Reporting & Support
About The Position
The Lead Actuary analyzes financial, economic, and operational data to support strategic and business decisions. The role leads a team responsible for reporting and analytics that inform value-based provider relationships and strategy, addressing complex issues with a high degree of independence and judgment. The Lead Actuary partners with Market Operations, Provider Experience, and other business stakeholders to support provider relationship management and analytics. Reporting to the Associate Director, Actuarial (General), the role provides actuarial support for provider negotiations, engages directly with providers, and balances relationship objectives with financial and compliance considerations. The position oversees internal reporting processes, helps shape strategy and policies for value-based provider reporting, and develops reports and visualizations to meet evolving business needs. It involves working with minimal supervision, exercising sound judgment on complex matters, and evaluating multiple factors to determine effective solutions. This is a remote position with occasional travel to Humana offices for training or meetings. The scheduled work week is 40 hours.
Requirements
- Bachelor's degree.
- FSA or ASA plus a relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
- MAAA.
- Demonstrated ability to articulate ideas effectively in written and oral forms.
Nice To Haves
- Experience in more than two functions, such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending.
- Collaborative approach.
- Strong organizational skills and ability to manage multiple priorities and deadlines.
- Advanced technical expertise in SQL, VBA, and data visualization.
- Innovative and future-focused mindset, with an ability to drive transformative solutions.
- Highly independent.
Responsibilities
- Analyze financial, economic, and operational data to support strategic and business decisions.
- Lead a team responsible for reporting and analytics related to value-based provider relationships and strategy.
- Partner with Market Operations, Provider Experience, and other business stakeholders on provider relationship management and analytics.
- Provide actuarial support for provider negotiations and engage directly with providers.
- Balance provider relationship objectives with financial and compliance considerations.
- Oversee internal reporting processes.
- Help shape strategy and policies for value-based provider reporting.
- Develop reports and visualizations to meet evolving business needs.
- Exercise judgment on complex matters and evaluate multiple factors to determine effective solutions.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Bonus incentive plan based on company and/or individual performance
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What This Job Offers
Job Type
Full-time
Career Level
Senior
