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

The Lead Actuary provides support across a broad range of actuarial, managerial, and business needs for Medicaid-specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and complexity. They will develop and maintain team best practices such as peer review and documentation.

The Lead Actuary will be responsible for Medicaid-specific functions such as capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, forecasting market-specific financial results, and many ad hoc analyses related to the business (risk, compliance, operations, etc.) They will advise market leadership and executives to develop rate advocacy and operational strategies which will have a significant financial impact on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and that work is properly balanced among team members.

The Lead Actuary will exercise independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. They will also be responsible for developing and communicating team best practices such as peer review and documentation.

Use your skills to make an impact

Required Qualifications

• FSA, MAAA or ASA, MAAA plus relevant advanced degree
• Bachelor's Degree
• At least 8 years of relevant work experience
• Strong written and oral communication skills
• Ability to manage several workstreams and prioritize competing interests
• Passionate about contributing to a growing Medicaid team which is focused on enhancing best practices and delivering peer-reviewed results

Preferred Qualifications

• 5 years of experience within the managed Medicaid industry
• 3 years of project management experience
• In depth knowledge of capitation rate development and the associated regulatory environment
• Track record of communicating complex actuarial concepts to a non-actuarial audience

Additional Information

• Fully remote role within the US
• Minimal travel - up to 4 times per year (2-3 days each)

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-13-2025

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.

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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.