Lead Actuary – Value-Based Provider Reporting & Support

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $129.3k - $177.8k / year

⏰ Full Time

🟠 Senior

📊 Actuary

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Humana

WebsiteLinkedInAll Job Openings

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 financial, economic, and operational data to support strategic and business decisions • Lead a team responsible for reporting and analytics informing value-based provider relationships and strategy • Partner with Market Operations, Provider Experience, and other business stakeholders • Provide actuarial support for provider negotiations • Engage directly with providers • Balance relationship objectives with financial and compliance considerations • Oversee internal reporting processes • Help shape strategy and policies for value-based provider reporting • Develop new reports and visualizations for evolving business needs • Address complex issues with minimal supervision and sound judgment • Evaluate multiple factors to determine effective solutions • Report to the Associate Director, Actuarial (General)

🎯 Requirements

• Bachelor's Degree • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations • MAAA • Demonstrated ability to articulate ideas effectively in both written and oral forms • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) (preferred) • Strong organization skills; adept at managing multiple priorities and deadlines • Advanced technical expertise in SQL, VBA, and data visualization • Innovative and future-focused mindset, with an ability to drive transformative solutions • Highly independent • Minimum download speed of 25 Mbps and upload speed of 10 Mbps • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • 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 • Remote work arrangement • Occasional travel to Humana offices for training or meetings