Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company providing insurance and healthcare services. The Associate Director, Actuarial Analytics/Forecasting leads Medicaid healthcare trend analytics, develops actionable recommendations, and advises senior leaders on cost and utilization drivers. The role also manages an actuarial analytics team and partners with cross-functional stakeholders to improve total cost of care and organizational performance.
Responsibilities
- Lead and develop a team of actuarial and analytical associates responsible for Medicaid trend analytics, insight generation, and strategic advisory support
- Direct recurring trend review processes, ensuring timely delivery of high-quality analyses, presentations, and actionable recommendations
- Translate complex healthcare cost, utilization, and emerging experience analyses into clear, compelling narratives tailored for director, AVP, VP, and executive audiences
- Partner with Finance, Clinical, Network, Operations, and Market Leadership teams to investigate emerging trends, identify cost drivers, and evaluate opportunities to improve total cost of care performance
- Present analytical findings and strategic recommendations to senior leadership, facilitating discussions that support informed business decisions
- Oversee the development of executive-ready reporting, presentations, and trend review materials that summarize key drivers, risks, opportunities, and recommended actions
- Manage intake, prioritization, and execution of ad hoc analytical requests, balancing stakeholder needs with team capacity and strategic objectives
- Drive analytical rigor and quality by ensuring findings are supported by sound methodologies, appropriate validation, and clear communication of assumptions and limitations
- Collaborate with actuarial, financial, clinical, and operational partners to connect analytical findings to business outcomes and organizational priorities
- Foster a culture of curiosity, continuous improvement, critical thinking, and strong business partnership across the team
Skills
- * Bachelor's degree
- * ASA or FSA designation with MAAA
- * Strong analytical and problem-solving skills with experience interpreting complex healthcare cost and utilization trends
- * Experience working with healthcare claims data and large data sets
- * Demonstrated ability to communicate complex analytical findings to leadership audiences through presentations, storytelling, and executive-level communications
- * Experience managing multiple priorities and delivering high-quality analytical work in a fast-paced environment
- * Strong collaboration and stakeholder management skills with the ability to influence cross-functional business partners
- * Passion for improving healthcare outcomes and organizational performance through data-driven decision-making
- * Experience supporting **managed care programs** and understanding key drivers of medical cost, utilization, and financial performance
- * Experience leading **healthcare cost, utilization, trend, or total cost of care analytics**
- * Demonstrated ability to create and deliver **executive-level presentations and storytelling** that drive informed business decisions
- * Proven ability to serve as a **trusted advisor** to business leaders by translating analytical findings into actionable strategies and recommendations
- * Experience **developing high-performing teams** and fostering a culture of growth, accountability, and collaboration
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
Company H1B Sponsorship