Associate Actuary
About the role
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.
Responsibilities
- Develop and maintain hospital unit cost analytic models to evaluate provider reimbursement levels, contract performance, and network financial impacts.
- Perform actual-to-expected analyses to assess the appropriateness of unit cost assumptions and support assumption refinement.
- Quantify financial impacts related to hospital contracting changes, reimbursement updates, and provider-specific assumptions.
- Apply actuarial methods and business judgment to support scenario modeling, sensitivity analysis, and financial impact estimates.
- Build, validate, and maintain analyses using Excel and other analytical tools, including SQL Server and Databricks.
- Develop summarized reporting, dashboards, and executive-ready exhibits, including Power BI reports, to communicate hospital unit cost performance and modeled financial impacts.
Requirements
- Bachelor's Degree
- Associate of Society of Actuaries (ASA) designation
- MAA
- Demonstrated ability to articulate ideas effectively in both written and oral forms
- SQL or Python experience
- Microsoft Excel experience
Preferred Qualifications
- Healthcare claims knowledge
- Provider reimbursement/contracting experience
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.