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Lead Actuary - Value-Based Provider Reporting & Support

Humana

Lead Actuary - Value-Based Provider Reporting & Support

United States · Remote · 3d ago

Salary
$129k - $178k

Role Summary

Role type

Provider-relationship analytics partner

Closer to a live-business relationship partner than a reporting-cycle specialist because provider negotiations and relationship objectives shape the work.

Remote Lead Health Actuary role supporting Medicare Advantage value-based provider relationships across the United States. You will lead reporting and analytics, support provider negotiations, develop visualizations, and shape reporting strategy while partnering with Market Operations and Provider Experience. The role reports to an Associate Director, Actuarial and offers a $129,300-$177,800 base salary plus bonus eligibility.

Requirements

Must have

  • Minimum internet download speed of 25 Mbps and upload speed of 10 Mbps
  • Work from a dedicated space lacking ongoing interruptions to protect PHI/HIPAA information

Strongly preferred

  • Bachelor's degree
  • FSA or ASA designation (or combination of advanced degree, experience, and other designations)
  • MAAA designation
  • Demonstrated ability to articulate ideas effectively in both written and oral forms
  • Experience in two or more actuarial functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
  • Collaborative mindset
  • Strong organization skills, adept at managing multiple priorities and deadlines
  • Advanced technical expertise in SQL, VBA, and data visualization
  • Innovative and future-focused mindset, with an ability to drive transformative solutions
  • Highly independent work style
  • Occasional travel to Humana offices for training or meetings

Skills & Domain

DomainValue-based provider reporting and analyticsProvider negotiations supportActuarial experience in multiple functions (pricing, reserving, trending)