Lead Actuary - PCO
RemoteMedicare AdvantagePredictive Modelling & MLBusiness Intelligence & ReportingExperience Studies
Role Summary
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Senior health actuarial role focused on analytics and forecasting for CenterWell/Humana. You will lead enterprise forecasting, ROI and claims experience analyses, develop advanced predictive models, and advise senior leaders on strategic and financial decisions. This remote role supports value-based arrangements and program evaluation for senior primary care.
JOB DESCRIPTION SUMMARY
- Lead enterprise forecasting and complex financial analyses for senior primary care
- Develop predictive models and partner with data science to drive analytic strategy
- Perform ROI analysis, claims experience monitoring, and program evaluation
- Remote position with occasional travel to Humana offices for meetings or training
- Ideal for a senior actuary (ASA/FSA, MAAA) with broad actuarial function experience
DOMAIN EXPERTISE
- Modeling
- Pricing
- Rate filing
- Reporting and analysis
- Reserving and trending
KEY REQUIREMENTS
- Bachelor's degree from an accredited institution
- FSA or ASA and MAAA required
- Experience in more than two actuarial functions (eg. modeling, pricing, reserving)
- Advanced verbal and written stakeholder communication experience
TECH STACK
- No tech stack specified
