Reporting to the Part D CFO, this position will be responsible for developing and maintaining Part D pharmacy forecasting models that support Medicare Advantage and Prescription Drug Plan (PDP) lines of business through financial planning, risk assessment, and comprehensive trend analytics.
This newly created role is designed to address the growing financial complexity and risk associated with the evolving Part D benefit, including significant program changes stemming from the Inflation Reduction Act (IRA).
The individual in this position will play a key role in shaping Part D financial strategy, providing actionable insights to senior leadership, and enhancing organizational understanding of the Part D program. This role offers a unique opportunity to deepen expertise in Medicare Part D while expanding Part D financial literacy across the broader organization.
The Actuary, Analytics/Forecasting maintains data integrity by developing and implementing processes and controls for data flow. This role partners with stakeholders to understand business needs, troubleshoot issues, perform root cause analysis, and resolve data anomalies cost-effectively. The position advises executives on significant functional strategies, often specific to a segment, and exercises independent judgment on complex responsibilities and related tasks. Working with minimal supervision, the role analyzes variable factors to determine the most effective course of action.
Use your skills to make an impact Required Qualifications- 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, reporting & analysis, reserving or trending)
Preferred Qualifications- Actuarial experience in healthcare
- Experience using SAS, SQL, Snowflake, or other relevant data analytics, database, or reporting tools
- Experience supporting claims trend analysis, forecasting, business intelligence, or financial analysis in a healthcare or managed care environment
- Experience documenting actuarial analyses and communications in alignment with applicable actuarial standards, including ASOP 41, Actuarial Communications
Additional InformationThis is a remote position.
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 Hours40
Pay RangeThe 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.
$129,300 - $177,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, 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: 09-08-2026
