Actuarial Analyst II - Medicaid Analytics

Humana Inc; San Juan (PR); On-site; USD 81,000 - 110,000; Full time

Benefits offered by this job

Medical benefits

Dental and vision coverage

401(k) retirement savings plan

Paid time off

Disability and life insurance

Job summary

Humana Inc. is seeking an Actuarial Analyst 2, Analytics/Forecasting to analyze healthcare data and forecast financial and utilization trends for Medicaid decision-making.

You will build and maintain actuarial models, reports, and dashboards while communicating findings to business partners. The role emphasizes collaboration with actuarial, finance, clinical, and operations teams, with opportunities to develop expertise in healthcare cost trends and emerging experience analysis.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Actuarial exams

Verbal communication

Written communication

Data analysis

Education

Bachelor's degree in actuarial science, mathematics, statistics, economics, finance, data science, or related field

Tools

Excel

SQL

SAS

Python

R

Power BI

Job description

Humana Inc. is seeking an Actuarial Analyst 2, Analytics/Forecasting to analyze healthcare data and forecast financial and utilization trends for Medicaid decision-making.

You will build and maintain actuarial models, reports, and dashboards while communicating findings to business partners. The role emphasizes collaboration with actuarial, finance, clinical, and operations teams, with opportunities to develop expertise in healthcare cost trends and emerging experience analysis.