Actuarial Director, Medicaid Trend Analytics

Humana Actuarial Director, Medicaid Trend Analytics Denver, Colorado Apply Now

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To be considered for an interview, please make sure your application is full in line with the job specs as found below.

The Actuarial Director, Analytics / Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. The Director, Actuarial Analytics / Forecasting requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

The Actuarial Director, Analytics / Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs / issues, troubleshoots problems, conducts root cause analysis, and develops cost-effective resolutions for data anomalies. Decisions are typically related to the implementation of new / updated programs or large-scale projects for the function and supporting technical / operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.

Oversees Medicaid Trend Analytics team responsible for detecting unfavorable claims trends.

Leads monthly meetings to review trends with Medicaid markets and guides market leadership on emerging opportunities.

Partners with clinical teams to find root causes of emerging issues.

Provides significant analytic support to market leaders (e.g. data for state meetings).

Supports pricing actuarial team on rate advocacy conversations related to inadequate trends.

Anticipates analytic needs of the organization to proactively explain emerging trends and opportunities.

Anticipates data infrastructure needs and works across the enterprise to proactively implement and budget for necessary enhancements.

Stays up-to-speed on emerging technologies, how those impact our processes, and how we can create efficiencies in our tools.

Oversees team peer review, documentation, and statement of actuarial opinion policies and guidelines.

Facilitates better coordination between data sources across the Medicaid segment.

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree
• ASA or FSA
• MAAA
• Demonstrated leadership capability, has led sizable staff before
• Experience in leading other human capital leaders
• Strong Communication Skills
• Experience in more than three functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) and more than one product.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Scheduled Weekly Hours

Pay Range

The 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.

189,400 - $260,500 per year.

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits

Humana, 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.

Application Deadline : 01-09-2025

About us

Humana 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 Employer

It 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our Accessibility Resources.

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Salary : $189,400 - $260,500