The Associate Actuary will support Medicare Market & Provider Finance with a focus on hospital unit cost financial impacts, provider reimbursement analytics, and actual-to-expected cost evaluation.
You will develop and maintain analyses that assess hospital contract performance, support unit cost assumption development, and quantify the financial impact of provider and network strategies.
You will partner with Network, Provider, Finance, and other cross-functional stakeholders to deliver clear, actionable insights using actuarial methods, claims data, reimbursement assumptions, and analytical tools.
The Associate Actuary will report to the Associate Director, Actuarial Analytics/Forecasting.
Key Responsibilities:
You will develop and maintain hospital unit cost analytic models to evaluate provider reimbursement levels, contract performance, and network financial impacts.
You will perform actual-to-expected analyses to assess the appropriateness of unit cost assumptions and support assumption refinement.
You will quantify financial impacts related to hospital contracting changes, reimbursement updates, and provider-specific assumptions.
You will apply actuarial methods and business judgment to support scenario modeling, sensitivity analysis, and financial impact estimates.
You will build, validate, and maintain analyses using Excel and other analytical tools, including SQL Server and Databricks.
You will develop summarized reporting, dashboards, and executive-ready exhibits, including Power BI reports, to communicate hospital unit cost performance and modeled financial impacts.
Use your skills to make an impact
Required Qualifications
Bachelor's Degree
Associate of Society of Actuaries (ASA) designation
MAAA
Demonstrated ability to articulate ideas effectively in both written and oral forms
SQL or Python experience
Microsoft Excel experience
Preferred Qualifications
Additional Information
This 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 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.
$106,900 - $147,000 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: 07-31-2026
