In this remote position reporting to the Director, Actuarial Analytics/Forecasting, you will oversee all post-acute network management analytics in a specific area of CenterWell. This is a new role for a growing part of the business. The role's primary responsibility will build an alternative payment model for post-acute care. You will work with the network strategy team. You will not have any direct reports, although there is potential for future direct reports if this work continues to grow.
As Actuary, Network Management Analytics, you will ensure data integrity by developing necessary processes and controls around the flow of data. Collaborate with partners to understand needs/issues, troubleshoot problems, conduct root cause analysis, and develops cost-effective resolutions for data anomalies. Advise executives to develop functional strategies (often segment specific) on matters of significance. Decision-making on complex issues regarding job responsibilities and related tasks. Analyze variable factors and determine the best course of action.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree
- Coding experience (SAS, SQL, Databricks)
- Fellow of the Society of Actuaries (FSA) or Associate of Society of Actuaries (ASA) designation plus recent relevant work experience or other relevant professional designations
- Member of the American Academy of Actuaries (MAAA)
- Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
Preferred Qualifications
- Innovative mindset
- Medicare experience
- Have analyzed post-acute care services
- Have managed direct reports
- Data visualization experience (Power BI)
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.
$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 Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 9Humana9) 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: 08-09-2026
