Actuary, Risk and Compliance

November 18

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Humana

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Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

📋 Description

• overall management and oversight of actuaries and/or support staff • identify and analyze potential risks and estimates the potential financial consequences • develop and recommend controls and cost-effective approaches to minimize risks • provide peer review and counsel on a wide variety of company, industry, and regulatory practices • monitor developments in actuarial techniques, and researching laws and regulations applicable to actuarial science and insurance operations • advise executives to develop functional strategies on matters of significance • lead a team of 2 direct reports. • support Humana’s MA-PD and PDP bid filings by ensuring appropriate interpretation and implementation of CMS guidance • participate in CMS audits and reviews related to Humana’s Medicare bids.

🎯 Requirements

• a Bachelor's degree • 8 or more years of technical experience • 2 or more years of project leadership experience • Associate or Fellow in the Society of Actuaries • Member of the American Academy of Actuaries • Strong communication skills • Medicare Advantage experience • Ability to manage large projects involving actuarial and non-actuarial staff.

🏖️ Benefits

• 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.