Actuary, Analytics/Forecasting

Humana Inc; Northern (KY); Hybrid; USD 129,000 - 178,000; Full time

Benefits offered by this job

Remote work

Job summary

Humana Inc. seeks an Actuary/Analytics professional to develop Part D forecasting models supporting Medicare Advantage and PDP lines. The role emphasizes financial planning, risk assessment, and trend analytics in a remote setting.

Responsibilities include delivering actionable insights to senior leadership, strengthening Part D financial literacy, and coordinating with stakeholders to resolve data issues while ensuring data integrity.

Qualifications

• Bachelor's Degree FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations MAAA.
• Demonstrated ability to articulate ideas effectively in both written and oral forms.
• Experience in more than two functions (e.g., modeling, pricing, reporting & analysis, reserving or trending).

Responsibilities

• Develop and maintain Part D pharmacy forecasting models for Medicare Advantage and PDP lines of business through financial planning, risk assessment and trend analytics.
• Provide actionable insights to senior leadership and enhance organizational understanding of Part D programs.
• Collaborate with stakeholders to troubleshoot issues and perform root cause analysis to resolve data anomalies cost-effectively.

Skills

Communication skills

Actuarial reasoning

Cross-functional experience

Education

FSA/ASA designation

Tools

SAS

SQL

Snowflake

Job description

Become a part of our caring community

Reporting to the Part D CFO, this position will be responsible for developing and maintaining Part D pharmacy forecasting models that support Medicare Advantage and Prescription Drug Plan (PDP) lines of business through financial planning, risk assessment, and comprehensive trend analytics. This newly created role is designed to address the growing financial complexity and risk associated with the evolving Part D benefit, including significant program changes stemming from the Inflation Reduction Act (IRA). The individual in this position will play a key role in shaping Part D financial strategy, providing actionable insights to senior leadership, and enhancing organizational understanding of the Part D program. This role offers a unique opportunity to deepen expertise in Medicare Part D while expanding Part D financial literacy across the broader organization. The Actuary, Analytics/Forecasting maintains data integrity by developing and implementing processes and controls for data flow. This role partners with stakeholders to understand business needs, troubleshoot issues, perform root cause analysis, and resolve data anomalies cost-effectively. The position advises executives on significant functional strategies, often specific to a segment, and exercises independent judgment on complex responsibilities and related tasks. Working with minimal supervision, the role analyzes variable factors to determine the most effective course of action. Use your skills to make an impact.

Required Qualifications

• Bachelor's Degree FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations MAAA
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Experience in more than two functions (e.g., modeling, pricing, reporting & analysis, reserving or trending)

Preferred Qualifications

• Actuarial experience in healthcare
• Experience using SAS, SQL, Snowflake, or other relevant data analytics, database, or reporting tools
• Experience supporting claims trend analysis, forecasting, business intelligence, or financial analysis in a healthcare or managed care environment
• Experience documenting actuarial analyses and communications in alignment with applicable actuarial standards, including ASOP 41, Actuarial Communications

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. $129,300 - $177,800 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

• 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
• Many other opportunities

Application Deadline: 09-08-2026

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.