Associate Director, Actuarial Analytics/Forecasting

Humana; United States; Remote; USD 157,000 - 215,000; Full time

Job summary

Humana is seeking an Associate Director, Actuarial Analytics/Forecasting to lead a team delivering Medicaid trend insights and strategic advisory services. You will translate complex cost and utilization data into compelling business narratives for senior leaders, partnering across Finance, Clinical, and Operations to improve total cost of care.

You will report to the Director, Actuarial Analytics/Forecasting and help shape executive decisions with rigorous analyses, innovative reporting, and

Qualifications

• Bachelor’s degree required.
• ASA or FSA designation with MAAA required.
• Strong analytical and problem-solving skills with experience interpreting complex healthcare cost and utilization trends.
• Experience working with healthcare claims data and large data sets.
• Ability to communicate complex analytical findings to leadership audiences through presentations and storytelling.
• Experience managing multiple priorities in a fast-paced environment.
• Strong collaboration and stakeholder management skills.
• Passion for improving healthcare outcomes and organizational performance through data-driven decisions.

Responsibilities

• Lead and develop a team of actuarial and analytical associates for Medicaid trend analytics and advisory support.
• Direct recurring trend review processes for timely, high-quality analyses and actionable recommendations.
• Translate analyses into narratives for directors, AVP, VP, and executives.
• Partner with Finance, Clinical, Network, Operations, and Market Leadership to explore trends and cost drivers.
• Present findings and recommendations to senior leadership.
• Oversee executive-ready reporting and trend materials summarizing drivers and actions.
• Manage intake and prioritization of ad hoc analytical requests.
• Ensure analyses are rigorous with sound methodologies and clear assumptions.
• Collaborate to connect analytical findings to business outcomes and priorities.

Skills

Analytical skills

Healthcare data

Communication to leadership

Problem-solving

Stakeholder management

Team leadership

Education

Bachelor’s degree

ASA or FSA designation with MAAA

Job description

Become a part of our caring community

The Associate Director, Actuarial Analytics/Forecasting leads a team responsible for delivering Medicaid healthcare trend insights and strategic advisory services that support business decision-making. This role combines advanced analytical expertise, leadership, and executive communication to identify drivers of healthcare cost and utilization trends, develop actionable recommendations, and facilitate discussions with senior leaders. You will translate complex analytical findings into compelling business narratives and partners with cross-functional stakeholders to improve management of total cost of care and support organizational performance. You will report to the Director, Actuarial Analytics/Forecasting in this role.

Key Responsibilities

• Lead and develop a team of actuarial and analytical associates responsible for Medicaid trend analytics, insight generation, and strategic advisory support

• Direct recurring trend review processes, ensuring timely delivery of high-quality analyses, presentations, and actionable recommendations

• Translate complex healthcare cost, utilization, and emerging experience analyses into clear, compelling narratives tailored for director, AVP, VP, and executive audiences

• Partner with Finance, Clinical, Network, Operations, and Market Leadership teams to investigate emerging trends, identify cost drivers, and evaluate opportunities to improve total cost of care performance

• Present analytical findings and strategic recommendations to senior leadership, facilitating discussions that support informed business decisions

• Oversee the development of executive-ready reporting, presentations, and trend review materials that summarize key drivers, risks, opportunities, and recommended actions

• Manage intake, prioritization, and execution of ad hoc analytical requests, balancing stakeholder needs with team capacity and strategic objectives

• Drive analytical rigor and quality by ensuring findings are supported by sound methodologies, appropriate validation, and clear communication of assumptions and limitations

• Collaborate with actuarial, financial, clinical, and operational partners to connect analytical findings to business outcomes and organizational priorities

• Foster a culture of curiosity, continuous improvement, critical thinking, and strong business partnership across the team

Use your skills to make an impact

Required Qualifications

• Bachelor’s degree

• ASA or FSA designation with MAAA

• Strong analytical and problem-solving skills with experience interpreting complex healthcare cost and utilization trends

• Experience working with healthcare claims data and large data sets

• Demonstrated ability to communicate complex analytical findings to leadership audiences through presentations, storytelling, and executive-level communications

• Experience managing multiple priorities and delivering high-quality analytical work in a fast-paced environment

• Strong collaboration and stakeholder management skills with the ability to influence cross-functional business partners

• Passion for improving healthcare outcomes and organizational performance through data-driven decision-making

Preferred Qualifications

• Experience supporting managed care programs and understanding key drivers of medical cost, utilization, and financial performance

• Experience leading healthcare cost, utilization, trend, or total cost of care analytics

• Demonstrated ability to create and deliver executive-level presentations and storytelling that drive informed business decisions

• Proven ability to serve as trusted advisor to business leaders by translating analytical findings into actionable strategies and recommendations

• Experience developing high-performing teams and fostering a culture of growth, accountability, and collaboration

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.

$156,600 - $215,400 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.