Associate Actuary, Medicaid

Humana Inc; United States; Remote; USD 107,000 - 147,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Short/long-term disability insurance

Life insurance

Other opportunities

Job summary

Humana Inc. seeks an Associate Actuary, General to support the Illinois Medicaid market with capitation rate reviews, analytics, and financial forecasting. The role advises executives on strategic market actions, and works under supervision of an FSA Actuary to drive informed decisions.

The candidate should have ASA and advanced degrees, strong technical and communication skills, and 3+ years of relevant experience, with remote work flexibility and opportunities for travel as needed.

Qualifications

• Bachelor's Degree ASA plus advanced degree, recent and relevant work experience, and/or other relevant professional designations.
• Strong technical and communication skills.
• 3 or more years of technical experience.

Responsibilities

• Provide actuarial support for capitation rate reviews and rate advocacy communications for the Illinois Medicaid market.
• Perform actual-to-expected analyses, forecasting of market-specific financial results, and ad hoc market support.
• Advise executives on functional strategies and use independent judgment under supervision of an FSA Actuary.

Skills

Strong technical skills

Strong communication skills

3+ years of technical experience

Education

Bachelor's Degree ASA plus advanced degree

Tools

Power BI

Job description

Become a part of our caring community

The Associate Actuary, General provides actuarial support across a broad range of actuarial and business needs for the IL Medicaid Market. The Medicaid Associate Actuary will be responsible for components of capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, forecasting market-specific financial results, and ad hoc market support for the state of Illinois. The Associate Actuary will advise executives to develop functional strategies (often segment specific) on matters of significance. They exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under supervision of an FSA Actuary. Use your skills to make an impact.

Required Qualifications

• Bachelor's Degree ASA plus advanced degree, recent and relevant work experience, and/or other relevant professional designations
• Strong technical and communication skills
• 3 or more years of technical experience

Preferred Qualifications

• Knowledge of Medicaid regulations, programs, and state plan benefits
• Experience with capitation rate development from either the state agency or payer perspective
• Detailed understanding of healthcare claims
• Experience developing Microsoft Power BI dashboards

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

• 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

10-02-2026

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.