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Associate VP, Actuarial (General)
Associate VP, Actuarial (General)-April 2024
Tallahassee
Apr 19, 2025
ABOUT HUMANA
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized whole-person healthcare experiences.
10,000+ employees
Healthcare
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About Associate VP, Actuarial (General)

  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.

  Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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