Remote Lead Actuary, Risk & Compliance

Humana Inc; Charleston (WV); On-site; USD 129,000 - 178,000; Full time

Benefits offered by this job

Remote position

Job summary

Humana Inc. is seeking a Lead Actuary, Risk and Compliance to lead actuarial risk management for Medicare Advantage and PDP bids. You will oversee actuaries and staff, identify risks, estimate financial impact, and develop controls to minimize compliance risk across the bid filing process.

The role requires collaboration with pricing actuaries, participation in CMS audits, and driving process improvements. This is a remote position with occasional travel to Humana offices; 40-hour weeks and a

Qualifications

• Bachelor's degree in a related field.
• 8+ years of actuarial experience.
• 2+ years of project leadership experience.
• ASA or FSA credential.
• MAAA membership.
• Excellent written and verbal communication.

Responsibilities

• Lead the risk assessment for Medicare bids and CMS compliance.
• Oversee actuarial staff and collaborate with pricing actuaries.
• Develop controls and process improvements to minimize compliance risk.
• Support CMS audits and participate in regulatory reviews.

Skills

Technical actuarial experience

Project leadership

Communication skills

CMS/regulatory knowledge

Bid filing experience

Education

Bachelor's degree

ASA or FSA credential

MAAA membership

Job description

Humana Inc. is seeking a Lead Actuary, Risk and Compliance to lead actuarial risk management for Medicare Advantage and PDP bids. You will oversee actuaries and staff, identify risks, estimate financial impact, and develop controls to minimize compliance risk across the bid filing process.

The role requires collaboration with pricing actuaries, participation in CMS audits, and driving process improvements. This is a remote position with occasional travel to Humana offices; 40-hour weeks and a