Risk Management Professional 2 - Senior Products Actuarial

Profile

Description

The Risk Management Professional 2 identifies and analyzes potential sources of loss to minimize risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Risk Management Professional 2 estimates the potential consequences of an occurring loss, develops and implements controls and cost-effective approaches to minimize Senior Product Actuarial's risks, and communicates information regarding business risks with functions across the organization. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Responsibilities

Humana Senior Products Actuarial is seeking a Risk Management Professional 2 to prevent and minimize potential loss/non-compliance and to support department-wide budget reporting.

Risk Management:


Review and analyze processes, documentation and data to identify gaps
Analyze data to identify trends and root cause of issues
Drive timely closure of regulatory audit responses
Develop and maintain key working relationships with Humana lines of defense, such as Internal Audit, Actuarial Risk Management, Enterprise Risk Management
Perform quality reviews/checks
Prepare and validate issues & opportunity for improvement reporting
Recommend process improvements
Assist with data, analysis, & summarization for the end of year bid submission report
Monitor department-wide security access reviews


Department-wide Budget Monitoring & Reporting:


Assist with timely, accurate monthly variance reporting
Monitor key accounts, such as Outside Services, Dues & Subscriptions, Travel & Entertainment
Monitor SOW due diligence
Perform monthly reconciliations
Prepare monthly accruals
Assist with annual budget planning & reporting


Required Qualifications


Bachelor's degree
2 - 5 years of technical experience
Ability to manage multiple priorities and work in deadline-driven environments
Strong attention to detail
Strong communication skills, both written and verbal
Strong time management skills
Strong analytical and reasoning skills
Proficient in MS Office Products (Outlook, Word, PowerPoint, Excel) and Visio


Preferred Qualifications


Experience in the healthcare field working with CMS regulations and/or Medicare Advantage
Audit experience
Accounting or finance experience
SharePoint or workflow tool capabilities
Experience working with advanced technical skillsets


Additional Information

This role reports to the Strategy Advancement Quality Lead.

Scheduled Weekly Hours

40

Company info

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