Humana Logo

Humana

Actuary, Network Management Analytics

Posted 16 Days 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
Lead post-acute network management analytics and develop an alternative payment model. Ensure data integrity by building processes and controls, troubleshoot and root-cause data issues, collaborate with partners, advise executives on strategy, and analyze variables to guide decision-making.
The summary above was generated by AI
Become a part of our caring community
 
In this remote position reporting to the Director, Actuarial Analytics/Forecasting, you will oversee all post-acute network management analytics in a specific area of CenterWell. This is a new role for a growing part of the business. The role's primary responsibility will build an alternative payment model for post-acute care. You will work with the network strategy team. You will not have any direct reports, although there is potential for future direct reports if this work continues to grow.

As Actuary, Network Management Analytics, you will ensure data integrity by developing necessary processes and controls around the flow of data. Collaborate with partners to understand needs/issues, troubleshoot problems, conduct root cause analysis, and develops cost-effective resolutions for data anomalies. Advise executives to develop functional strategies (often segment specific) on matters of significance. Decision-making on complex issues regarding job responsibilities and related tasks. Analyze variable factors and determine the best course of action.


Use your skills to make an impact
 

Required Qualifications

  • Bachelor's Degree
  • Coding experience (SAS, SQL, Databricks)
  • Fellow of the Society of Actuaries (FSA) or Associate of Society of Actuaries (ASA) designation plus recent relevant work experience or other relevant professional designations
  • Member of the American Academy of Actuaries (MAAA)
  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Preferred Qualifications

  • Innovative mindset
  • Medicare experience
  • Have analyzed post-acute care services
  • Have managed direct reports
  • Data visualization experience (Power BI)

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 08-09-2026
About us
 
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.


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.

Similar Jobs

2 Hours Ago
Remote
US
283K-453K Annually
Senior level
283K-453K Annually
Senior level
Cloud • Fintech • Food • Information Technology • Software • Hospitality
Lead technical direction and deliver large-scale ML platform infrastructure including feature store, model serving, experimentation, and training pipelines. Drive architecture, mentor engineers, coordinate cross-team initiatives, resolve system-wide issues (latency, reliability, GPU utilization), and define safe ML deployment paths from registration through rollout, monitoring, and rollback.
Top Skills: DatabricksFlinkGpuJavaKafkaKotlinLlmsMlflowSagemakerSpark StreamingTecton
2 Hours Ago
Remote or Hybrid
Mid level
Mid level
Automotive • Big Data • Information Technology • Robotics • Software • Transportation • Manufacturing
Design, deliver, and improve metrology training and certification for virtual matching, VTAC, and metrology software. Build role-based curricula, maintain training content and templates, deliver instructor-led and virtual classes, create microlearning and job aids, track KPIs and outcomes, mentor facilitators, and provide occasional in-field measurement support.
Top Skills: CadCreaformData VisualizationGd&TGomInnovmetric DataloopInnovmetric PolyworksLaser TrackerMeasurement System AnalysisPortable Cmm ArmSharepointStatistical Process Control (Spc)Zeiss
2 Hours Ago
Remote or Hybrid
United States
106K-141K Annually
Senior level
106K-141K Annually
Senior level
Automotive • Big Data • Information Technology • Robotics • Software • Transportation • Manufacturing
Manage and grow a portfolio of fleet and mobility B2B accounts across the Northeast. Drive retention, expansion, pipeline progression, negotiations, and profitable deals. Build executive relationships, maintain CRM and forecasts, partner cross-functionally to deliver solutions, and travel frequently to customer sites.
Top Skills: CRMExcelMicrosoft WordPowerPoint

What you need to know about the Boston Tech Scene

Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.

Key Facts About Boston Tech

  • Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
  • Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
  • Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
  • Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account