Actuary, Medicaid Trend Analytics and Data Management

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

Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to support modeling, reporting, and decision-making. Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results. Lead and manage data‑related projects from scoping through post‑production validation, partnering with teammates to implement data transformations, automation, and enhancements.

Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with actuarial, financial, and clinical teams to assess and determine optimal data solutions. Provide strategic recommendations on data architecture and improvements. Support team in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data.

The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. This role collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost‑effective resolutions for data anomalies.

Typical responsibilities, but not limited to:

• Advises executives to develop functional strategies (often segment specific) on matters of significance.
• Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions.
• Establishes metrics, provides data analyses, and works directly to support business intelligence.
• Evaluates industry, economic, financial, and market trends to forecast the organization’s short, medium and long‐term financial and competitive position.
• Exercises independent judgment and decision making regarding job duties and related tasks and works under minimal supervision.
• Uses independent judgment requiring analysis of variable factors and determining the best course of action.

• Bachelor’s Degree
• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.
• MAAA
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
• Demonstrated project management skills with the ability to drive work independently and effectively lead through collaboration
• Experience in managing large healthcare claim datasets and conducting trend analysis
• Advanced knowledge of Databricks, SQL, or Python

• Ability to translate complex data into actionable insights
• Effective communication skills for technical and non‑technical audiences
• Skilled in gathering customer input and translating it into clear business requirements that align with customer needs and objectives
• Deep understanding of healthcare claims taxonomy (service categories, such as LTSS)

$129,300 - $177,800 per year

12-30-2025

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.

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