Sobre este puesto de Actuarial Analyst II, Medical Trend en CenterWell
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The Actuarial Analyst 2, 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. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.The Actuarial Analyst 2, Analytics/Forecasting supports Humana’s Medicaid actuarial analytics capabilities by analyzing healthcare data, maintaining actuarial models and reporting tools, evaluating emerging cost and utilization experience, and communicating findings to business partners. The analyst may support data and reporting functions, actuarial modeling, emerging-experience analysis, claims trend analytics, or market-focused trend reviews. This role provides opportunities to build actuarial, analytical, and business skills while developing expertise in healthcare cost trends, emerging experience analysis, and Medicaid decision-making.
Responsibilities
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 clear summaries, visualizations, and presentation materials that explain analytical findings, assumptions, limitations, and business implications.
Collaborate with actuarial, finance, clinical, market, operations, and technology partners to understand business questions and support analytical needs.
Investigate data anomalies, perform root-cause analysis, and work with business and technology partners to resolve identified issues.
Support the development, maintenance, validation, and enhancement of actuarial models, datasets, reports, and analytical tools.
Develop and maintain processes and controls that support 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 assignments of increasing complexity, using sound judgment and seeking guidance when appropriate.
Required Qualifications
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
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact
Preferred Qualifications
Experience working with healthcare claims, membership, authorization, or financial data
Knowledge of healthcare insurance, Medicare, Medicaid, or managed care
Experience developing reports, dashboards, models, or presentation materials
Demonstrated interest in medical-cost analytics, forecasting, data quality, or emerging experience
Work Hours: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, depending on business needs.
Interview Format
As part of our hiring process, we will be using on-demand technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers with an enhanced method for decision-making through on-demand candidate assessments.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in an on-demand assessment with pre-determined questions. You should anticipate the assessment to take approximately 10-15 minutes.
Your on-demand assessment will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
SSN Task via Workday
Should you be extended a formal employment offer you will receive a request to enter your SSN into our Workday system to scan for duplicate profiles.
Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay 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.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-29-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
