Actuarial Analyst II, Medical Trend

CenterWell Primary Care$80K — $110K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in actuarial science, mathematics, statistics, economics, finance, data science, or a related quantitative field
  • Completion of at least 3 actuarial exams
  • Meets Humana's Actuarial Professional Development Program (APDP) requirements
  • Strong verbal and written communication skills
  • Experience analyzing data using tools like Excel, SQL, SAS, Python, R, Power BI, or similar technologies
  • Prior actuarial, healthcare, insurance, financial, or related analytical experience
  • Passion for contributing to enhancing consumer experiences

Responsibilities

  • Analyze healthcare claims, membership, authorization, and financial data to evaluate costs and utilization
  • Investigate emerging cost and utilization patterns, identify drivers, and summarize findings
  • Prepare summaries, visualizations, and presentations of analytical findings and their implications
  • Collaborate with various departments to understand business questions and support analytical needs
  • Investigate data anomalies, perform root-cause analyses, and resolve issues with partners
  • Support the development and maintenance of actuarial models and analytical tools
  • Develop processes that ensure reliability in data, models, and reporting

Benefits

  • Medical, dental, and vision insurance
  • 401(k) retirement savings plan
  • Paid time off including personal holidays and parental leave
  • Short-term and long-term disability coverage
  • Life insurance and other wellness opportunities
Full Job Description
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 employees9 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

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.


$80,900 - $110,300 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-29-2026

About CenterWell Primary Care

CenterWell Primary Care Careers

Joining CenterWell Primary Care presents an unparalleled opportunity to advance one's career in a leading healthcare organization that is dedicated to innovation and quality care. CenterWell Primary Care is actively seeking professionals who are passionate about making a difference in the healthcare industry.

Explore Job Opportunities

CenterWell Primary Care offers a variety of job opportunities that enable professionals to grow their careers in an environment that values leadership and diversity. The company is committed to fostering a culture where innovation thrives and leadership skills are honed.

Professional Growth and Development

At CenterWell Primary Care, career growth is a priority. The company supports professional development through comprehensive training programs and opportunities for advancement. Employees are encouraged to expand their skills and knowledge, positioning themselves as leaders in the healthcare sector.

Diversity and Inclusion

CenterWell Primary Care is dedicated to creating a diverse and inclusive workplace. The company believes that diversity training and an inclusive culture are key to innovation and the delivery of exceptional care. Employees from various backgrounds bring unique perspectives that enhance the team's performance and patient outcomes.

Benefits and Culture

Employees at CenterWell Primary Care enjoy a range of benefits designed to support their professional and personal lives. The company's culture is centered on teamwork, respect, and integrity, providing a solid foundation for personal growth and job satisfaction.

Internship Programs

For those starting their career, CenterWell Primary Care offers internship programs that provide hands-on experience in the healthcare field. Interns gain valuable insights and skills, which are crucial for building a successful career in healthcare.

Hiring Process

The hiring process at CenterWell Primary Care is designed to identify candidates who are not only skilled but also passionate about making a difference in healthcare. Prospective employees can expect a thorough interview process where they can showcase their skills and learn more about the company's mission and values.

Networking and Professional Opportunities

CenterWell Primary Care encourages its team to engage in networking opportunities within and beyond the company. This engagement fosters professional connections and collaborative opportunities that can lead to innovative solutions and enhanced patient care.

Join the Team

CenterWell Primary Care is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the CenterWell Primary Care Jobs page. Tailor your resume to reflect your expertise and prepare for a career that promises both professional and personal growth.

Stay Connected

Keep up to date with career tips, industry insights, and the latest news from CenterWell Primary Care. Subscribe to receive updates that can help you stay ahead in your career.

Explore Careers at CenterWell Primary Care

Discover the rewarding opportunities awaiting at CenterWell Primary Care. With a commitment to employee growth, a diverse culture, and a drive for innovation, CenterWell Primary Care is the perfect place to advance your career in healthcare.
Learn more about CenterWell Primary Care
Industry

Similar Jobs

More Jobs at CenterWell Primary Care

More Healthcare Jobs

Find similar Actuarial Analyst II, Medical Trend jobs: