Associate Actuary, Medicaid

Humana; United States; On-site; USD 107,000 - 147,000; Full time

Benefits offered by this job

Remote work option

Bonus incentive plan

Job summary

Humana is seeking an Associate Actuary, General to provide actuarial support across a broad range of actuarial and business needs for the IL Medicaid Market.

The role includes capitation rate reviews, drafting rate advocacy communications, actual-to-expected analytics, forecasting market-specific financial results, and advisory support to executives on strategic matters while under supervision of an FSA Actuary.

Qualifications

• Bachelor's Degree required.
• 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

• Capitation rate review.
• Draft rate advocacy communications.
• Actual-to-expected business analytics and forecasting.
• Ad hoc market support for Illinois Medicaid.
• Advise executives to develop functional strategies and exercise independent judgment.

Skills

3+ years of experience

Technical skills

Communication skills

Education

Bachelor's Degree

ASA designation

Advanced degree

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.

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.

Required Qualifications

Use your skills to make an impact

• 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

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and 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.