Lead Actuary - Medicare Supplemental Benefits

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Job Information
Humana
Lead Actuary - Medicare, Supplemental Benefits
in
Portland
Maine
Description
This role will be responsible for leading a team of two associates in i) pricing and forecasting of MSBs (Supplemental Benefits) for the Medicare Advantage line of business, and ii) developing assumptions and implementing CMS regulations for Related Parties. In this role, the Actuary will also collaborate with many departments within Humana (as well as Milliman), and have interactions with various Retail, Specialty, and Joint Venture leaders to communicate results and strategies.
Responsibilities
This role will be responsible for leading a team of two associates in i) pricing and forecasting of MSBs (Supplemental Benefits) for the Medicare Advantage line of business, and ii) developing assumptions and implementing CMS regulations for Related Parties. In this role, the Actuary will also collaborate with many departments within Humana (as well as Milliman), and have interactions with various Retail, Specialty, and Joint Venture leaders to communicate results and strategies.
The Actuary [Medicare Advantage Actuarial Infrastructure and Development 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 Actuary works on problems of diverse scope and complexity ranging from moderate to substantial.
Additionally, the person will contribute to the strategic needs of the product lines and connect this to Senior Product Actuarial work streams. The Actuary 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. 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.
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 in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
Preferred Qualifications
Leadership Experience
Multiple Team Collaboration Experience
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
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