Associate Actuary - Medicaid Trend

Become a part of our caring community and help us put health first
 We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. Evaluates economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. Prepares trend analytics on a monthly and ad hoc basis, to provide accurate and timely information for strategic and operational decision making. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers, utilization patterns, and economic insights to support each Humana Medicaid market. The ideal candidate combines actuarial expertise with a deep understanding of healthcare data to enhance internal actuarial models and develop new tools which support strategic decision-making.  Technical expertise and coding experience a key skill needed for this role, as daily activities will involve creating, modifying, and reviewing logic in various coding platforms.  This role involves collaboration with stakeholders to understand business needs and develop analytic solutions to complex problems.

Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

As an Associate Actuary on the Medicaid Trend Analytics team, you will play a critical role in identifying, quantifying, and explaining healthcare cost and utilization trends.  The Associate Actuary works together with a team of actuaries to understand business needs, troubleshoot issues, develop efficient resolutions for data anomalies, and conduct actuarial modeling.  The Associate Actuary regularly synthesizes and presents trend drivers to leadership, in a clear and concise manner.  This role focuses on non-inpatient analytics, supporting the Early Indicator Report (EIR) team.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree in Actuarial Science, Mathematics, Statistics, or related field
• ASA or FSA designation, MAAA
• 2+ years of actuarial experience in health insurance and/or medical claims analytics
• Proficiency in data analysis and one or more statistical programming languages (e.g., SAS, Databricks, SQL, or Python)
• Experience building, monitoring, and enhancing complex actuarial models

Preferred Qualifications

• Strong communication skills
• Strong working knowledge of healthcare claims as it relates to trend analytics, total cost of care management, and/or healthcare economics functions
• Medicaid experience
• Leadership/project management skills and ability to manage multiple projects simultaneously
• Experience with Power BI or other data visualization software
• Familiarity with predictive models, machine learning algorithms, and/or generative AI

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 07-30-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.