hero

DISCOVER JOBS IN GREATER PEORIA

Greater opportunities to build the life you want
Greater Peoria, IL
Greater Peoria, IL
133
companies
1,560
Jobs

Associate VP, Actuarial (General)

Humana

Humana

Remote · Florida, USA
Posted on Sunday, January 14, 2024

Become a part of our caring community and help us put health first

We are seeking a talented and motivated Associate Vice President of Actuarial and Underwriting Pricing to join our team. In this high impact role, you will be responsible for leading and providing strategic actuarial and underwriting services across our Group Medicare line of business. This individual will be responsible in making data driven decisions to manage risk, set competitive pricing, and develop strategic initiatives. Lead 38 associates,

Responsibilities

  • Oversee the development, implementation, and maintenance of actuarial policies and procedures for the Group Medicare line of business

  • Collaborate with cross functional teams, including the Group Medicare P&L, finance, operations, HQRI, STARS, Trend, Individual Medicare Actuaries, and Senior Leaders to optimize profitability and growth as we renew and expand our Group Medicare business.

  • Develop the pricing and rate setting processes for Group Medicare products, ensuring compliance with CMS federal products

  • Utilize predictive modeling and other statistical techniques to forecast business performance and manage risk

  • Represent the company in external meetings with regulators, consultants, brokers, groups, auditors, and other stakeholders

  • Cultivates and maintains a broad network of collaborative relationships across the enterprise, allowing quick navigation to get information, guidance, or to clear the path for new initiatives.

  • Excellent communication skills, with the ability to communicate complex technical concepts and their business implications to a nontechnical audience.

  • Strategic thinker with demonstrated ability to bridge the strategic vision with the tactical delivery and drive consensus accordingly.

  • Quickly assimilates new information and grasps new concepts; strong financial acumen and knowledge of the business.

  • Record of successful cross-functional collaboration on complex initiatives.

  • Demonstrated ability to influence and build trusted relationships with senior and executive audiences.

  • Demonstrated ability to run a complex and multifaceted operation.

  • Hire, lead and develop a high performing team


Use your skills to make an impact

Required Qualifications

  • Bachelors Degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field

  • Fellowship of the Society of Actuaries (FSA) or similar actuarial designation

  • Minimum of 10 years of progressive experience in actuarial roles, with a focus on healthcare or Medicaid

  • Strong understanding of Group Medicare and the healthcare market

  • Expertise in statistical analytics, predictive modeling, and risk management

  • Demonstrated strategic thinking abilities and an enterprise-wide perspective

  • 8+ years of management experience

  • Outstanding collaboration, solid influencing, problem solving, and negotiation skills

  • Experience leading through influence in a large, matrixed, global environment

  • Proven history of effective working relationships with leaders and key business partners to drive change agendas

  • Prior experience working with Underwriting team and collaborating on key assumptions in pricing multiple years of premiums.

Scheduled Weekly Hours

40


About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.


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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.