Note: The job is a remote job and is open to candidates in USA. Humana is a U.S. healthcare company serving Medicare, Medicaid, and other healthcare populations through insurance and healthcare services. The Actuary, Analytics/Forecasting develops and maintains Part D pharmacy forecasting models, supports financial planning and risk assessment, and provides actionable insights to senior leadership. The role also maintains data integrity, resolves data anomalies, and advises executives on complex Part D strategies.
Responsibilities
- Developing and maintaining Part D pharmacy forecasting models that support Medicare Advantage and Prescription Drug Plan (PDP) lines of business through financial planning, risk assessment, and comprehensive trend analytics
- Playing a key role in shaping Part D financial strategy, providing actionable insights to senior leadership, and enhancing organizational understanding of the Part D program
- Expanding Part D financial literacy across the broader organization
- Developing and implementing processes and controls for data flow
- Partners with stakeholders to understand business needs, troubleshoot issues, perform root cause analysis, and resolve data anomalies cost-effectively
- Advises executives on significant functional strategies, often specific to a segment, and exercises independent judgment on complex responsibilities and related tasks
- Analyzes variable factors to determine the most effective course of action
Skills
- Bachelor's Degree
- FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
- MAAA
- Demonstrated ability to articulate ideas effectively in both written and oral forms
- Experience in more than two functions (e.g., modeling, pricing, reporting & analysis, reserving or trending)
- Actuarial experience in healthcare
- Experience using SAS, SQL, Snowflake, or other relevant data analytics, database, or reporting tools
- Experience supporting claims trend analysis, forecasting, business intelligence, or financial analysis in a healthcare or managed care environment
- Experience documenting actuarial analyses and communications in alignment with applicable actuarial standards, including ASOP 41, Actuarial Communications
Benefits
- This is a remote position.
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
Company Overview