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Lead Medicaid Actuary (Manager)

Humana Inc.United States2mo ago
RemoteMedicaidPricing & RatingUW Support & Portfolio ManagementBusiness Intelligence & Reporting

Role Summary

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HIGHLIGHTS

Manager-level Health actuarial role focused on Medicaid. You will lead capitation rate review, forecast market-specific financial results, conduct actual-to-expected analytics, and shape rate advocacy for market leadership. Fully remote within the US. Requires ASA or FSA (MAAA) and at least 8 years of relevant experience.

JOB DESCRIPTION SUMMARY

  • Lead Medicaid capitation rate development and rate advocacy
  • Forecast market-specific financial results and perform A/E analytics
  • Advise market leadership and executives on operational strategies
  • Fully remote within the US with minimal travel (up to 4x/year)
  • Requires ASA or FSA (MAAA) and 8+ years of relevant experience

DOMAIN EXPERTISE

  • Capitation rate development and regulatory knowledge
  • Managed Medicaid experience
  • Actual-to-expected business analytics
  • Forecasting market financial results

KEY REQUIREMENTS

  • FSA or ASA with MAAA membership (required)
  • Bachelor's degree required
  • At least 8 years of relevant work experience
  • Strong written and oral communication skills
  • Ability to manage several workstreams and prioritize competing interests

TECH STACK

  • No tech stack specified