Description

Become a part of our caring community
The Associate Actuary will support Medicare Market & Provider Finance with a focus on hospital unit cost financial impacts, provider reimbursement analytics, and actual-to-expected cost evaluation.

You will develop and maintain analyses that assess hospital contract performance, support unit cost assumption development, and quantify the financial impact of provider and network strategies.
You will partner with Network, Provider, Finance, and other cross-functional stakeholders to deliver clear, actionable insights using actuarial methods, claims data, reimbursement assumptions, and analytical tools.

The Associate Actuary will report to the Associate Director, Actuarial Analytics/Forecasting.

Key Responsibilities:

• You will develop and maintain hospital unit cost analytic models to evaluate provider reimbursement levels, contract performance, and network financial impacts.
• You will perform actual-to-expected analyses to assess the appropriateness of unit cost assumptions and support assumption refinement.
• You will quantify financial impacts related to hospital contracting changes, reimbursement updates, and provider-specific assumptions.
• You will apply actuarial methods and business judgment to support scenario modeling, sensitivity analysis, and financial impact estimates.
• You will build, validate, and maintain analyses using Excel and other analytical tools, including SQL Server and Databricks.
• You will develop summarized reporting, dashboards, and executive-ready exhibits, including Power BI reports, to communicate hospital unit cost performance and modeled financial impacts.

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree
• Associate of Society of Actuaries (ASA) designation
• MAAA
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• SQL or Python experience
• Microsoft Excel experience

Preferred Qualifications

• Healthcare claims knowledge
• Provider reimbursement/contracting experience

Additional Information

This is a remote position.

Work at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

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.

$106,900 - $147,000 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 07-31-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
Requisition #: R-420147

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