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Actuary 2, Analytics/Forecasting
Humana. Analyze healthcare claims, membership, authorization, financial, and other relevant data to evaluate medical cost, utilization, unit cost, and emerging experience .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing healthcare claims and financial data, applying actuarial methods, and developing analytical models and reports. Strong communication skills are essential for collaborating with cross-functional teams and presenting findings effectively.
Highest-signal resume keywords
Actuarial AnalysisData VisualizationSQL ProficiencyHealthcare Claims ExperienceStatistical Modeling
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Actuarial ScienceData AnalysisStatistical MethodsFinancial AnalysisRoot-Cause AnalysisData Quality ControlModel DevelopmentForecastingAutomationData Reporting
Soft Skills
Verbal CommunicationWritten CommunicationCollaborationProblem-SolvingProfessionalism
Tools & Technologies
ExcelSQLSASPythonRPower BI
Certifications & Qualifications
Actuarial ExamsHumana's Actuarial Professional Development Program (APDP)
Industry Keywords
Healthcare InsuranceMedicareMedicaidManaged CareConsumer Experience
Tech Stack
Tools & technologiesPythonSQL
About the role
Key responsibilities & impact- Analyze healthcare claims, membership, authorization, financial, and other relevant data to evaluate medical cost, utilization, unit cost, and emerging experience
- Investigate emerging cost and utilization patterns, identify key drivers, and summarize findings for actuarial and business partners
- Prepare summaries, visualizations, and presentation materials explaining analytical findings, assumptions, limitations, and business implications
- Collaborate with actuarial, finance, clinical, market, operations, and technology partners
- Investigate data anomalies, perform root-cause analysis, and resolve issues with business and technology partners
- Support development, maintenance, validation, and enhancement of actuarial models, datasets, reports, and analytical tools
- Develop and maintain processes and controls supporting reliable data, models, reporting, and recurring analytical deliverables
- Maintain documentation of data sources, business rules, methodologies, assumptions, controls, and recurring processes
- Identify opportunities to improve, automate, and standardize data, modeling, reporting, and quality-control processes
- Apply actuarial and analytical methods to increasingly complex assignments using sound judgment and seeking guidance when appropriate
- Support Humana's Medicaid actuarial analytics capabilities and business intelligence needs
Requirements
What you’ll need- Bachelor's degree in actuarial science, mathematics, statistics, economics, finance, data science, or another related quantitative field
- Successful completion of at least 3 actuarial exams
- Meets requirements for Humana's Actuarial Professional Development Program (APDP)
- Strong verbal and written communication skills, demonstrated with professionalism and timely follow-through
- Experience analyzing data using tools such as Excel, SQL, SAS, Python, R, Power BI, or similar technologies
- Prior actuarial, healthcare, insurance, financial, or related analytical experience
- Passion for contributing to an organization focused on continuously improving consumer experiences
- Preferred: Experience working with healthcare claims, membership, authorization, or financial data
- Preferred: Knowledge of healthcare insurance, Medicare, Medicaid, or managed care
- Preferred: Experience developing reports, dashboards, models, or presentation materials
- Preferred: Demonstrated interest in medical-cost analytics, forecasting, data quality, or emerging experience
- Ability to work typical business hours Monday-Friday, 8 hours/day, 5 days/week
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental, and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Self-provided internet service for remote work
- Remote work arrangement
- Occasional travel to Humana offices for training or meetings