HonorHer Jobs

HonorHer

Job Information

Humana Associate Actuary - Network Strategy Analytics in Riverton, Wyoming

Description

The Associate Actuary analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes unit cost metrics, provides competitive data and pricing evaluations, and works directly to support our network contracting, market development, and employer group pricing and trend teams. We're looking for quantitatively trained and experienced professionals, who have naturally curious and innovative minds who want to be part of a fun and productive team. If you have a "Roll up your sleeves and get dirty in the data" attitude and have prior modeling experience, this opportunity is for you.

Responsibilities

Seeking an Associate Actuary that can perform the assessment of provider risk opportunities, provider network design, provider reimbursement strategies, and medical cost savings that could positively impact the financial performance of Humana. In this role you will utilize actuarial techniques to aid pricing, network development and segment sales.

  • Assess market competitiveness and evaluate impact of provider contracts

  • Implement area-specific plans and goals that help enhance business-wide objectives

  • Produce cost and utilization statistics for data mining and modeling to appropriately price Humana's business

  • Development of sound applications and models necessary to efficiently measure, monitor, and forecast competitiveness

  • Create cooperative working relationships with business partners and external consultants

  • Produce insights and analysis that serve as a resource for network, actuarial segment, and segment sales leaders in aspects related to medical cost and utilization analysis and provider economics

  • Be exposed to network and market development leadership for both Medicare and Commercial business segments

  • Comply with Actuarial Standards of Practice

  • Exercises considerable latitude in determining objectives and approaches to assignments

  • Works on individual projects, as well as on a dynamic and flexible team, with minimal oversight

Required Qualifications

  • Bachelor's Degree

  • ASA or FSA Designation

  • Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)

  • MAAA

  • Experience presenting to members of leadership

  • Demonstrated ability to contribute to strategic discussion with multiple leadership groups

  • Experience utilizing Excel at an advanced level

Preferred Qualifications

  • Understanding of network contracting

  • Experience with SQL and/or SAS

  • Experience with health care claims and claims payment systems

Scheduled Weekly Hours

40

DirectEmployers