Actuarial Analyst II, Medical Trend

Become a part of our caring community   The Actuarial Analyst 2, 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 Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting supports Humana’s Medicaid actuarial analytics capabilities by analyzing healthcare data, maintaining actuarial models and reporting tools, evaluating emerging cost and utilization experience, and communicating findings to business partners. The analyst may support data and reporting functions, actuarial modeling, emerging-experience analysis, claims trend analytics, or market-focused trend reviews. This role provides opportunities to build actuarial, analytical, and business skills while developing expertise in healthcare cost trends, emerging experience analysis, and Medicaid decision-making.

Analyze healthcare claims, membership, authorization, financial, and other relevant data to evaluate medical cost, utilization, unit cost, and emerging experience. Investigate emerging cost and utilization patterns, identify key drivers, and summarize findings for actuarial and business partners. Prepare clear summaries, visualizations, and presentation materials that explain analytical findings, assumptions, limitations, and business implications. Collaborate with actuarial, finance, clinical, market, operations, and technology partners to understand business questions and support analytical needs. Investigate data anomalies, perform root-cause analysis, and work with business and technology partners to resolve identified issues. Support the development, maintenance, validation, and enhancement of actuarial models, datasets, reports, and analytical tools. Develop and maintain processes and controls that support reliable data, models, reporting, and recurring analytical deliverables. Maintain documentation of data sources, business rules, methodologies, assumptions, controls, and recurring processes. Identify opportunities to improve, automate, and standardize data, modeling, reporting, and quality-control processes. Apply actuarial and analytical methods to assignments of increasing complexity, using sound judgment and seeking guidance when appropriate.

Bachelor's degree in actuarial science, mathematics, statistics, economics, finance, data science, or another related quantitative field Successful completion of at least 3 actuarial exams Meets requirements for Humana's Actuarial Professional Development Program (APDP) Strong verbal and written communication skills, demonstrated with professionalism and timely follow-through Experience analyzing data using tools such as Excel, SQL, SAS, Python, R, Power BI, or similar technologies Prior actuarial, healthcare, insurance, financial, or related analytical experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Use your skills to make an impact   Preferred Qualifications Experience working with healthcare claims, membership, authorization, or financial data Knowledge of healthcare insurance, Medicare, Medicaid, or managed care Experience developing reports, dashboards, models, or presentation materials Demonstrated interest in medical-cost analytics, forecasting, data quality, or emerging experience Work Hours : Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, depending on business needs. Interview Format  As part of our