Humana

Actuary, Actuarial Risk Management

Posted on: 10 Jan 2021

Louisville, KY

Job Description

Description

The Actuary, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies and analyzes potential risks and estimates the potential financial consequences, develops and recommends controls and cost-effective approaches to minimize risks. The Actuary, Risk and Compliance works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

This role on the Actuarial Risk Management team ensures consistent and adequate risk management practices across the actuarial community. Primarily focuses on partnerships with two to three lines of business while staying integrated with enterprise-wide initiatives. Leads and participates in one or more cross-departmental committees. Risk management assurance consists of, but is not limited to, performing independent peer review, monitoring and assessing key risk topics, recommending controls and approaches to mitigate risk, and researching information to support the Chief Actuary's risk management initiatives. Regularly works with actuarial leaders to present recommendations. Must be able to balance attention to detail with high-level critical thinking.

The role requires familiarity with a variety of technology for peer reviewing models across the actuarial community, such as Excel VBA, SQL, SAS, R, DataRobot, and Humana's Machine Learning Platform. Candidates should also be familiar with Humana's Guiding Principles (Modeling Principles, Communication Principles, Key Driver Ranges), standard actuarial methods and best practices of constructing models, manipulating and aggregating data, applying appropriate trends or adjustments, and documentation.

Required Qualifications

* Bachelor's degree
* Experience in two or more lines of business or actuarial functions (Pricing, Reserving, Forecasting, etc.)
* Associate of the Society of Actuaries (ASA) designation
* Member of the American Academy of Actuaries (MAAA)
* Meets requirements for Humana's Actuarial Professional Development Program (APDP)
* Excellent written and verbal communication skills
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

* Experience with advanced analytics, machine learning, or other data science applications
* Experience leading a committee or workgroup
* Passionate about peer review

Scheduled Weekly Hours

40

Humana

Louisville, KY

Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.

In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.

Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.