Lead Medicaid Actuary (Manager)

Humana

20d • Remote

About The Position

Become a part of our caring community and help us put health first The Lead Actuary will be responsible for Medicaid functions such as forecasting market-specific financial results, capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, and many ad hoc analyses. They will advise market leadership and executives to develop rate advocacy and operational strategies which will have a significant financial impact on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and that work is properly balanced among team members. The Lead Actuary will exercise independent judgment and decision making on complex issues and works under minimal supervision. They will also be responsible for developing and communicating team best practices such as peer review and documentation. Use your skills to make an impact

Requirements

• FSA, MAAA or ASA, MAAA plus relevant advanced degree
• Bachelor's Degree
• At least 8 years of relevant work experience
• Strong written and oral communication skills
• Ability to manage several workstreams and prioritize competing interests
• Passionate about contributing to a growing Medicaid team

Nice To Haves

• 3 years of experience within the managed Medicaid industry
• In depth knowledge of capitation rate development and the associated regulatory environment
• Track record of communicating complex actuarial concepts to a non-actuarial audience

Responsibilities

• forecasting market-specific financial results
• capitation rate review
• drafting rate advocacy communications
• actual-to-expected business analytics
• ad hoc analyses
• advising market leadership and executives to develop rate advocacy and operational strategies
• ensuring key workstreams are meeting timelines
• ensuring work is properly balanced among team members
• exercising independent judgment and decision making on complex issues
• developing and communicating team best practices such as peer review and documentation

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: Manager