Associate Actuary – Value-Based Care

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $106.9k - $147k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

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Logo of Humana

Humana

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.

📋 Description

• Analyze and forecast financial, economic, and other data for strategic and operational decisions • Establish metrics and provide data analyses supporting business intelligence • Evaluate industry, economic, financial, and market trends to forecast short-, medium-, and long-term financial and competitive position • Support the design, implementation, and management of complex value-based care initiatives • Focus on contracting, implementation, data analysis, and actuarial modeling of value-based care performance expectations • Collaborate with cross-functional teams to align value-based care objectives with organizational goals • Develop and execute processes and controls to ensure data integrity and proper data flow • Work with stakeholders to understand business needs and issues • Troubleshoot problems, conduct root cause analysis, and develop cost-effective resolutions for data anomalies • Determine technical approaches for project components and influence department strategy • Report to the Associate Director, Actuarial Analytics/Forecasting

🎯 Requirements

• Bachelor's Degree • Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation • Ability to articulate ideas effectively in written and oral forms • MAAA and/or ability to issue Statements of Actuarial Opinion (preferred) • Proficiency in SAS, SQL, or Python (preferred) • Comfort communicating technical concepts to non-actuarial audiences (preferred) • Highly collaborative (preferred) • Knowledge of value-based contracts (preferred) • Knowledge of Medicare members, claims, and revenue (preferred) • Minimum dedicated workspace without ongoing interruptions to protect PHI/HIPAA information • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Ability to travel occasionally to Humana offices for training or meetings

🏖️ Benefits

• Bonus incentive plan • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Work-from-home arrangement • Employer-provided opportunities supporting personal wellness and healthcare decisions

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