Actuary 2, Analytics/Forecasting

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate healthcare claims, membership, authorization, financial, and other pertinent data to assess medical costs, utilization, unit costs, and emerging trends.

• Examine new cost and utilization trends, pinpoint key drivers, and compile findings for actuarial and business stakeholders.

• Create summaries, visualizations, and presentation materials that articulate analytical findings, assumptions, limitations, and their business implications.

• Collaborate with partners in actuarial, finance, clinical, market, operations, and technology sectors.

• Investigate data discrepancies, conduct root-cause analyses, and resolve issues alongside business and technology collaborators.

• Assist in the development, maintenance, validation, and enhancement of actuarial models, datasets, reports, and analytical tools.

• Establish and uphold processes and controls that ensure the reliability of data, models, reporting, and recurring analytical outputs.

• Maintain thorough documentation of data sources, business rules, methodologies, assumptions, controls, and ongoing processes.

• Identify opportunities to enhance, automate, and standardize data, modeling, reporting, and quality-control processes.

• Utilize actuarial and analytical techniques on increasingly complex tasks, exercising sound judgment and seeking guidance when necessary.

• Contribute to Humana's Medicaid actuarial analytics capabilities and business intelligence requirements.

⛳️ Requirements

• Bachelor’s degree in actuarial science, mathematics, statistics, economics, finance, data science, or another related quantitative discipline.

• Successful completion of a minimum of 3 actuarial exams.

• Fulfillment of the requirements for Humana's Actuarial Professional Development Program (APDP).

• Exceptional verbal and written communication skills, demonstrated with professionalism and prompt follow-through.

• Experience in data analysis using tools such as Excel, SQL, SAS, Python, R, Power BI, or comparable technologies.

• Previous actuarial, healthcare, insurance, financial, or related analytical experience.

• A strong desire to contribute to an organization dedicated to enhancing consumer experiences.

• Preferred: Experience with healthcare claims, membership, authorization, or financial data.

• Preferred: Understanding of healthcare insurance, Medicare, Medicaid, or managed care.

• Preferred: Experience in creating reports, dashboards, models, or presentation materials.

• Preferred: Demonstrated interest in medical-cost analytics, forecasting, data quality, or emerging trends.

• Ability to work standard business hours Monday through Friday, 8 hours per day, 5 days per week.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• A dedicated workspace free from interruptions to ensure the protection of member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability.

• Life insurance.

• Self-provided internet service for remote work.

• Remote work arrangement.

• Occasional travel to Humana offices for training or meetings.