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Humana

Sells Medicare health plans and runs senior clinics

Actuary – Analytics/Forecasting

Actuarial & Risk ModellingConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A Bachelor's degree is required.
  • An FSA or ASA is required, along with a relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
  • MAAA is required.
  • The candidate must be able to articulate ideas effectively in written and oral forms.
  • Experience in more than two functions, such as modeling, pricing, rate filing, reporting and analysis, reserving, or trending, is required.
  • Home internet service must provide at least 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL is suggested.
  • The employee must work from a dedicated space without ongoing interruptions to protect member PHI and HIPAA information.

Responsibilities

  • Analyze and forecast financial, economic, and other data to provide accurate, timely information that guides strategic and operational decisions.
  • Establish metrics, deliver data analyses, and directly support business intelligence.
  • Evaluate industry, economic, financial, and market trends to forecast the organization's short-, medium-, and long-term financial and competitive position.
  • Develop and support financial projections for Utilization Management (UM) programs.
  • Ensure data integrity by developing and executing processes and controls that govern the flow of data.
  • Collaborate with stakeholders to understand business needs and issues, troubleshoot problems, conduct root cause analysis, and develop cost-effective resolutions for data anomalies.
  • Advise executives on significant matters to help shape functional strategies, often segment-specific.
  • Exercise independent judgment and decision-making on complex job-related issues, analyzing variable factors and determining the best course of action under minimal supervision.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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