
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • 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.
🔥 12 hours ago
🇺🇸 United States – Remote
đź’µ $80.9k - $110.3k / year
⏰ Full Time
🟡 Mid-level
đźź Senior
📊 Actuary
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • 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.
• Analyze healthcare claims, membership, authorization, financial, and other relevant data to evaluate medical cost, utilization, unit cost, and emerging experience • Investigate emerging cost and utilization patterns, identify key drivers, and summarize findings for actuarial and business partners • Prepare summaries, visualizations, and presentation materials explaining analytical findings, assumptions, limitations, and business implications • Collaborate with actuarial, finance, clinical, market, operations, and technology partners • Investigate data anomalies, perform root-cause analysis, and resolve issues with business and technology partners • Support development, maintenance, validation, and enhancement of actuarial models, datasets, reports, and analytical tools • Develop and maintain processes and controls supporting reliable data, models, reporting, and recurring analytical deliverables • Maintain documentation of data sources, business rules, methodologies, assumptions, controls, and recurring processes • Identify opportunities to improve, automate, and standardize data, modeling, reporting, and quality-control processes • Apply actuarial and analytical methods to increasingly complex assignments using sound judgment and seeking guidance when appropriate • Support Humana's Medicaid actuarial analytics capabilities and business intelligence needs
• Bachelor's degree in actuarial science, mathematics, statistics, economics, finance, data science, or another related quantitative field • Successful completion of at least 3 actuarial exams • Meets requirements for Humana's Actuarial Professional Development Program (APDP) • Strong verbal and written communication skills, demonstrated with professionalism and timely follow-through • Experience analyzing data using tools such as Excel, SQL, SAS, Python, R, Power BI, or similar technologies • Prior actuarial, healthcare, insurance, financial, or related analytical experience • Passion for contributing to an organization focused on continuously improving consumer experiences • Preferred: Experience working with healthcare claims, membership, authorization, or financial data • Preferred: Knowledge of healthcare insurance, Medicare, Medicaid, or managed care • Preferred: Experience developing reports, dashboards, models, or presentation materials • Preferred: Demonstrated interest in medical-cost analytics, forecasting, data quality, or emerging experience • Ability to work typical business hours Monday-Friday, 8 hours/day, 5 days/week • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
• Bonus incentive plan based on company and/or individual performance • Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Self-provided internet service for remote work • Remote work arrangement • Occasional travel to Humana offices for training or meetings
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