Senior Actuarial Analytics Leader—Medicaid Forecasting

Humana Inc; Montpelier (VT); On-site; USD 157,000 - 215,000; Full time

Job summary

Humana Inc. seeks an Associate Director, Actuarial Analytics/Forecasting to lead Medicaid trend analytics, generate insights, and advise senior leadership on cost and utilization drivers.

You will translate complex analyses into actionable narratives and partner with Finance, Clinical, Network, and Operations teams to improve total cost of care. You will oversee a team, present findings to executives, and develop executive-ready reporting.

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, storytelling, and executive-level communications.
• 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 decision-making.

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

Skills

ASA or FSA designation with MAAA

Analytical problem-solving

Healthcare claims data experience

Executive-level communication

Multi-priority management

Cross-functional collaboration

Storytelling for leadership

Data interpretation of trends

Trusted advisor

Education

Bachelor's degree

Job description

Humana Inc. seeks an Associate Director, Actuarial Analytics/Forecasting to lead Medicaid trend analytics, generate insights, and advise senior leadership on cost and utilization drivers.

You will translate complex analyses into actionable narratives and partner with Finance, Clinical, Network, and Operations teams to improve total cost of care. You will oversee a team, present findings to executives, and develop executive-ready reporting.