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Actuary -Analytics/Forecasting

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Job Details
Job Order Number
JC158311446
Company Name
Humana
Physical Address

Chicago, IL 60684
Job Description

Description

The Actuary, Analytics/Forecasting analyzes and forecasts authorization and clinical metrics understanding impacts from operational decisions and industry trends. Establishes metrics, provides data analyses, and works directly with key parties to support business intelligence. Evaluates authorizations, claims and market trends to evaluate short, medium and long-term financial impacts due to organizational initiatives. The Actuary, Analytics/Forecasting works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Actuary, 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 understand data anomalies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

The Actuary will use information from clinical to understand the authorization process and use this understanding to analyze impacts due to operational metrics or industry changes. This person will work closely with the markets and clinical space as well as present finding to leadership.

Required Qualifications

+ Bachelor’s Degree

+ FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.

+ MAAA

+ Strong communication skills

+ Experience with Authorization data or Claims data

+ Experience with coding in SAS

+ Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Preferred Qualifications

+ Management Experience

+ Experience with both health claims and authorization data

+ Skills with communicating to broad audiences

Additional Information

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request.


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