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Job Details

Actuary General

Company name
Humana Inc.

Location
San Juan, PR, United States

Employment Type
Full-Time

Posted on
Aug 25, 2021

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Profile

Description

The Actuary, General provides actuarial support across a broad range of actuarial and business needs for specific product lines. The Actuary, General works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Actuary, General may be responsible for any combination of valuation, pricing, analytics, forecasting, risk, compliance, and operations. 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.

Scope and Responsibilities:

Collaborate with internal and external business partners to identify and quantify the adequacy of Medicaid capitation rates

Lead Medicaid rate review, analysis of rate change impact, and development of rate advocacy topics for 1-2 State Medicaid programs

Assist the Medicaid Markets with ad-hoc requests pertaining to the financial performance of Humana's Medicaid business

Conduct experience studies for assigned Medicaid markets

Serve as an active contributor during Health Plan Association meetings

Manage one direct report

Required Qualifications

Bachelor's Degree

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

MAAA

Demonstrated ability to present to market leadership

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

8 or more years of experience with data manipulation and modeling

2 or more years of project leadership experience

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Experience with SAS

Medicaid experience

Additional Information

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

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