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Actuary, Medicaid Trend Analytics and Data Management

Humana Inc.United States4mo ago
RemoteMedicaidPredictive Modelling & MLExperience StudiesBusiness Intelligence & Reporting

Role Summary

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HIGHLIGHTS

Senior Health actuarial role focused on Medicaid trend analytics and data management. You will own large Medicaid claims datasets in Databricks, lead data projects from scoping to post-production validation, and provide forecasting, trend analysis, and strategic recommendations. This remote US role requires an ASA or FSA and MAAA and strong SQL/Python skills.

JOB DESCRIPTION SUMMARY

  • Own and manage Medicaid claims analytics dataset in Databricks
  • Lead data-related projects from scoping through post-production validation
  • Perform Medicaid claims trend analysis and forecasting to identify cost drivers
  • Requires ASA or FSA and MAAA, plus advanced SQL/Python skills
  • Remote US role; occasional travel to Humana offices may be required

DOMAIN EXPERTISE

  • managing large healthcare claims datasets
  • Medicaid claims trend analysis and forecasting
  • experience across multiple actuarial functions (modeling/pricing/reserving/reporting)
  • project management for actuarial data projects

KEY REQUIREMENTS

  • FSA or ASA credential plus MAAA membership
  • Bachelor's degree
  • Experience managing large healthcare claims datasets and trend analysis
  • Advanced knowledge of Databricks, SQL, or Python
  • Demonstrated project management skills and multi-function actuarial experience

TECH STACK

  • Other_BI_Tool