Associate Actuary - Care Delivery Finance

Profile

Description

The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within Care Delivery Finance. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes for claims reserving and claims analytics. They will have access to service fund claims across a large Payer Agnostic ecosystem as CenterWell / Conviva is nationally the largest Senior Focused Primary Care company. Collaborates with Care Delivery Population Health and Analytics and Care Delivery Finance to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. 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.

Claims Analytics for Care Delivery Finance

Set IBNR for Conviva / CenterWell

Required Qualifications

Bachelor's Degree

ASA or FSA designation

At least 5 years of actuarial experience

1 years of experience using SAS, SQL, or similar coding programs

Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)

MAAA

Demonstrated ability to communicate with cross functional business partners

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

Preferred Qualifications

Healthcare Industry 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 Humana@myworkday.com 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