The Associate Director, Actuarial Analytics/Forecasting leads a team responsible for delivering Medicaid healthcare trend insights and strategic advisory services that support business decision-making. This role combines advanced analytical expertise, leadership, and executive communication to identify drivers of healthcare cost and utilization trends, develop actionable recommendations, and facilitate discussions with senior leaders. You will translate complex analytical findings into compelling business narratives and partners with cross-functional stakeholders to improve management of total cost of care and support organizational performance. You will report to the Director, Actuarial Analytics/Forecasting in this role.
Key Responsibilities
Lead and develop a team of actuarial and analytical associates responsible for Medicaid trend analytics, insight generation, and strategic advisory support
Direct recurring trend review processes, ensuring timely delivery of high-quality analyses, presentations, and actionable recommendations
Translate complex healthcare cost, utilization, and emerging experience analyses into clear, compelling narratives tailored for director, AVP, VP, and executive audiences
Partner with Finance, Clinical, Network, Operations, and Market Leadership teams to investigate emerging trends, identify cost drivers, and evaluate opportunities to improve total cost of care performance
Present analytical findings and strategic recommendations to senior leadership, facilitating discussions that support informed business decisions
Oversee the development of executive-ready reporting, presentations, and trend review materials that summarize key drivers, risks, opportunities, and recommended actions
Manage intake, prioritization, and execution of ad hoc analytical requests, balancing stakeholder needs with team capacity and strategic objectives
Drive analytical rigor and quality by ensuring findings are supported by sound methodologies, appropriate validation, and clear communication of assumptions and limitations
Collaborate with actuarial, financial, clinical, and operational partners to connect analytical findings to business outcomes and organizational priorities
Foster a culture of curiosity, continuous improvement, critical thinking, and strong business partnership across the team
Use your skills to make an impact
Required Qualifications
Bachelor's degree
ASA or FSA designation with MAAA
Strong analytical and problem-solving skills with experience interpreting complex healthcare cost and utilization trends
Experience working with healthcare claims data and large data sets
Demonstrated ability to communicate complex analytical findings to leadership audiences through presentations, storytelling, and executive-level communications
Experience managing multiple priorities and delivering high-quality analytical work in a fast-paced environment
Strong collaboration and stakeholder management skills with the ability to influence cross-functional business partners
Passion for improving healthcare outcomes and organizational performance through data-driven decision-making
Preferred Qualifications
Experience supporting managed care programs and understanding key drivers of medical cost, utilization, and financial performance
Experience leading healthcare cost, utilization, trend, or total cost of care analytics
Demonstrated ability to create and deliver executive-level presentations and storytelling that drive informed business decisions
Proven ability to serve as a trusted advisor to business leaders by translating analytical findings into actionable strategies and recommendations
Experience developing high-performing teams and fostering a culture of growth, accountability, and collaboration
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.
$156,600 - $215,400 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: 10-02-2026
