Lead Actuary - Value-Based Provider Reporting & Support

Humana Inc; United States; Remote; USD 129,000 - 178,000; Full time

Job summary

Humana Inc. has an opening for a Lead Actuary remote position. You will analyze financial, economic, and operational data to guide provider relationships and strategy, leading a team in reporting and analytics with independence and judgment.

The role entails providing actuarial support for provider negotiations, engaging with providers, and shaping reporting policies while ensuring compliance. Travel may be required occasionally.

Qualifications

• Bachelor's degree and actuarial credentials required.
• Experience in multiple actuarial functions preferred.
• Strong SQL, VBA and data visualization skills.

Responsibilities

• Provide actuarial support for provider negotiations and analytics.
• Engage directly with providers and balance relationship objectives with financial considerations.
• Oversee internal reporting processes and develop new reports and visualizations.

Skills

SQL

VBA

Data Visualization

Collaboration

Organizational Skills

Education

Bachelor's Degree

FSA or ASA

MAAA

Job description

Become a part of our caring community The Lead Actuary analyzes financial, economic, and operational data to support strategic and business decisions. This role leads a team responsible for reporting and analytics that inform value-based provider relationships and strategy, addressing complex issues with a high degree of independence and judgment. The Lead Actuary partners with Market Operations, Provider Experience, and other business stakeholders to support provider relationship management and analytics. You will report to the Associate Director, Actuarial (General) in this role.

Responsibilities include providing actuarial support for provider negotiations, engaging directly with providers, and balancing relationship objectives with financial and compliance considerations. You will also oversee internal reporting processes, helps shape strategy and policies for value-based provider reporting, and develops new reports and visualizations to meet evolving business needs. Working with minimal supervision, you will exercise sound judgment on complex matters and evaluates multiple factors to determine effective solutions.

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

Preferred Qualifications Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) Collaborative Strong organization skills; adept at managing multiple priorities and deadlines Advanced technical expertise: SQL, VBA, and data visualization Innovative and future-focused mindset, with an ability to drive transformative solutions Highly independent

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. $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 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: 10-28-2026

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.