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Humana

Actuary, ESRD Forecasting and Analytics

Reposted 4 Hours Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
129K-178K Annually
Senior level
Remote
Hiring Remotely in United States
129K-178K Annually
Senior level
The Actuary analyzes and forecasts financial data to support strategic decisions, ensuring data integrity, and serves as a subject matter expert on ESRD population for Medicare Advantage plans.
The summary above was generated by AI
Become a part of our caring community and help us put health first
 
The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial.

The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

This role will be a subject matter expert on the End Stage Renal Disease (ESRD) population for Humana’s individual Medicare Advantage plans. This includes:

  • Owning and improving our ESRD claims forecast process
  • Reviewing input assumptions and outputs of the ESRD forecast for reasonability and accuracy
  • Summarizing and explaining ESRD forecast results for business partners
  • Reviewing and analyzing emerging experience on ESRD members to understand drivers of change and any potential headwinds or tailwinds

Use your skills to make an impact
 

Required Qualifications

  • Bachelor's Degree
  • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
  • MAAA
  • Strong communication and organizational skills
  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Preferred Qualifications

  • Strong technical skills, especially SQL, VBA, and Databricks/Python
  • Individual Medicare Advantage experience
  • Knowledgeable on ESRD population

Additional Information

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$129,300 - $177,800 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and 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 and many other opportunities.

Application Deadline: 12-30-2025
About us
 
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Top Skills

Databricks
Python
SQL
VBA

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