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Associate Actuary, UM Analytics

Remote US

Become a part of our caring community and help us put health first
 The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position.

This position is in the Home organization at Humana. This Associate Actuary role provides an opportunity to work in a newer, growing area of the company. The role works with Medicare Advantage without being involved in bid season. They will partner closely with Utilization Management (UM) leadership to develop analytics for this area’s home health and skilled nursing facility (SNF) UM programs.

Typical responsibilities, but not limited to:

  • Perform studies involving modeling financial impacts and making financial projections related to the UM program.
  • Evaluate and continually monitor the overall performance of the UM program and explain the drivers of that performance.
  • Identify opportunities where the UM program can improve by using analytics.

Use your skills to make an impact
 

Required Qualifications

  • Bachelor's Degree
  • Associate of Society of Actuaries (ASA) designation
  • 2 years minimum in the actuarial field (any specialty)

Preferred Qualifications

  • Established communication skills
  • Coding, worked with large sets of data or SQL experience
  • Medicare/MA Experience

Additional Information

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home Statement

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 recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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.


 

$104,800 - $144,300 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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Job Profile

Regions

North America

Countries

United States

Restrictions

California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Must have internet speed of 25 mbps download and 10 mbps upload Remote US South Dakota Specific states eligible for internet expense reimbursement Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota

Benefits/Perks

401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Competitive benefits Dental Dental benefits Disability Holidays Life Life Insurance Medical Medical benefits Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Smart healthcare decisions Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home

Tasks
  • Analyze financial data
  • Communication
  • Develop analytics for UM programs
  • Establish metrics
  • Evaluate market trends
  • Identify opportunities
  • Support business intelligence
  • Training
  • Utilization Management
Skills

Analytics BI Business Business Intelligence Coding Communication Compensation Data Data analysis Dental Financial modeling Forecasting Healthcare Healthcare Analytics Healthcare services HIPAA Home Health Insurance Leadership Life Insurance Management Market trends Medicaid Medicare Medicare Advantage Metrics Modeling Nursing Organization Policy Recruitment SQL Technology Training Utilization management Vision Wellness

Experience

2 years

Education

Analytics ASA Associate Bachelor's Bachelor's degree Business Communication Education Healthcare Higher IT Management Nursing

Certifications

ASA ASA designation

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9