Actuary - Primary Care Organization

$129K — $177K *
US-AnywhereRemote in United States
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in a related field
  • Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) with advanced degree or professional designations
  • Member of the American Academy of Actuaries (MAAA)
  • Strong communication skills for effective stakeholder engagement
  • Experience across multiple actuarial functions including modeling, pricing, and analysis

Responsibilities

  • Collaborate with stakeholders to address business needs and analyze medical claims trends
  • Provide strategic insights and present findings to executives
  • Exercise independent judgment to resolve complex actuarial issues
  • Analyze financial and business data to guide organizational strategy
  • Conduct root cause analyses and deliver actionable insights

Benefits

  • Comprehensive medical, dental, and vision insurance
  • 401(k) retirement savings plan
  • Paid time off including company holidays and volunteer time off
  • Short-term and long-term disability coverage
  • Life insurance and additional wellness opportunities
Full Job Description
The Actuary, 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 Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial.

The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.

Shift: Mon-Fri 8am-5pm CST or EST


Use your skills to make an impact

Responsibilities

  • Collaborate with stakeholders to understand business needs, identify issues, and develop actionable insights into drivers of medical claims trends.

  • Provide strategic guidance to executives on matters of significance by leveraging strong communication skills to collaborate effectively with stakeholders, present findings to leadership, and document actuarial analyses in accordance with ASOP 41, Actuarial Communications.

  • Exercise independent judgment and make sound decisions on complex actuarial matters while working with minimal supervision and determining appropriate courses of action based on varying factors.

  • Analyze and forecast financial, economic, and business data by applying technical knowledge, industry insights, and actuarial modeling to inform strategic and operational decision-making and assess the organization’s financial and competitive position over the short, medium, and long term.

  • Conduct root cause analyses, establish metrics, and deliver data-driven insights and cost-effective solutions to address data-related issues and support business intelligence initiatives.

Required Qualifications

  • Bachelor's Degree

  • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.

  • MAAA

  • Strong communication skills

  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Preferred Qualifications

SAS, SQL, Snowflake or other relevant experience

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates have the self-provided internet service you must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

  • Leadership approves satellite, cellular and microwave connection for use only if they give approval.

  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet our requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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

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, “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: 08-12-2026

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