Job Overview
Location
Remote Nationwide
Job Type
Full-time
Category
Data Science
Date Posted
June 23, 2026
Full Job Description
đź“‹ Description
- • Develop and maintain value-based pro forma scenario models to support provider analytics and negotiation strategies
- • Reduce manual processes through automation and standardization of modeling workflows
- • Provide hands-on analytical support for Independent Delivery Network (IDN) negotiations
- • Collaborate with cross-functional business partners to align on analytic solutions and modeling approaches
- • Communicate complex actuarial findings and model outputs clearly to non-technical business stakeholders in both written and oral formats
- • Engage in model development and enhancement activities specifically tied to negotiation modeling requirements
- • Assist in modeling specific provider negotiations that require detailed analytical input and scenario analysis
- • Work remotely as a full-time Associate Actuary with a 40-hour weekly schedule
- • Participate in occasional travel to Humana offices for training sessions or in-person meetings as required
- • Apply actuarial expertise to support Humana’s mission of improving health outcomes for Medicare, Medicaid, and other insured populations
- • Ensure all modeling work adheres to actuarial standards and supports data-driven decision-making across provider contracts
- • Contribute to a culture of continuous improvement by identifying opportunities to enhance model accuracy, efficiency, and scalability
- • Support the broader Provider Analytics team in delivering actionable insights that influence contract negotiations and financial forecasting
- • Maintain awareness of industry trends and regulatory changes impacting value-based care models and provider reimbursement
- • Utilize analytical tools and platforms to execute modeling tasks while ensuring data integrity and reproducibility
- • Work in alignment with Humana’s commitment to whole-person well-being through accurate, transparent, and ethical actuarial practices
🎯 Requirements
- • Bachelor’s Degree
- • Associate of the Society of Actuaries (ASA) designation
- • MAAA (Member of the American Academy of Actuaries)
- • Demonstrated ability to articulate ideas effectively in both written and oral forms
🏖️ Benefits
- • Medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Paid time off, company and personal holidays, volunteer time off, and paid parental and caregiver leave
- • Short-term and long-term disability insurance
- • Life insurance
- • Eligibility for a bonus incentive plan based on company and/or individual performance
Skills & Technologies
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About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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