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Actuarial Analyst, Medicaid Trend image - Rise Careers
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Actuarial Analyst, Medicaid Trend

Become a part of our caring community and help us put health firstThe Actuarial Analyst 2 utilizes SAS and Excel to run the monthly Medicaid Early Indicator Report, which is an actuarial model that estimates admit count and spend for each of Humana's Medicaid states. The analystcalculates trends, exercises actuarial judgement to determine which trends to communicate to the markets, and uses written communication to develop PowerPoint presentation slides highlighting key trends. The analyst is also responsible for ad-hoc analyses to support Medicaid RFPs and trend savingopportunities.The key responsibilities of the role include:• Refresh Medicaid data and tool monthly to provide best estimate utilization/PMPMs for the month close process• Prepare analysis and provide insights for monthly market meetings• Provide insights to support statements needed for RFPs• Prepare and communicate analyses to support trend saving opportunities for Medicaid markets• Build new reports, utilizing programs such as SAS, Excel, and Power BIThe Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow ofdata. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost ef-fective resolutions for data anomalies. Understands department, segment, and organizational strategy and operating objectives, including their linkagesto related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guid-ance where needed. Follows established guidelines/procedures.Use your skills to make an impactRequired Qualifications• Bachelor's Degree• Successful completion of at least 3 actuarial exams• Strong communication skills• Must be passionate about contributing to an organization focused on continuously improving consumer experiencesScheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$78,800 - $108,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About usHumana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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CEO of Humana
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Jim Rechtin
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Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

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Full-time, on-site
DATE POSTED
November 15, 2024

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