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CenterWellPosted 1 week ago

Associate Actuary-Value-Based Care

$106,900–$147,000 year

RemoteUnited States

Full TimeEntry LevelBachelors DegreeLargeHEALTHCARE

Job Summary

Analyze and forecast financial, economic, and market data to support strategic and operational decisions. Establish metrics, conduct root cause analysis on data anomalies, and develop cost-effective resolutions while ensuring data integrity through necessary processes and controls. Evaluate industry trends to forecast the organization's short, medium, and long-term financial position, collaborating with cross-functional teams on value-based care initiatives, contracting, and actuarial modeling. Make decisions on moderately complex technical approaches with considerable latitude in determining objectives. Report to the Associate Director, Actuarial Analytics/Forecasting. This role supports the design and management of vended complex value-based care initiatives within Humana's healthcare services.

Required Qualifications

  • Bachelor's Degree
  • Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation
  • Demonstrated ability to articulate ideas effectively in both written and oral forms
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps
  • Wireless, wired cable or DSL connection
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  • Occasional travel to Humana's offices for training or meetings

Desired Qualifications

  • MAAA and/or ability to issue Statements of Actuarial Opinion
  • Proficient in SAS, SQL, or Python
  • Comfort in communicating technical concepts to non-actuarial audiences
  • Highly collaborative
  • Knowledge of Value Based contracts
  • Knowledge of Medicare members, claims, and revenue

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