Title: Associate Actuary - Provider Analytics Location:Remote, Nationwide Remote Job:Remote Job: Yes widget:Full time Category:Corporate Humana Job ID:R-419443 Job Description: Become a part of our caring community The Associate Actuary, Analytics Forecasting will be focused on supporting a combination of: • Developing and maintaining value based pro forma scenario models • Reducing manual work through automation and standardized modeling • Providing hands-on analytic support for IDN negotiations • Working with relevant business partners to align on analytic solutions • Communicating results with business partners You will be involved in a combination of model development and enhancement work related to the build of negotiation models. You will also be involved in working with relevant business partners in actually assisting with modeling specific negotiations that require in-depth analytical support and communicating out such results. Use your skills to make an impact Required Qualifications - Bachelor's Degree - Associate of Society of Actuaries (ASA) designation - MAAA - Demonstrated ability to articulate ideas effectively in both written and oral forms Additional Information This is a remote position. 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. $106,900 - $147,000 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. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and 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 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.

Role Description Shape the world of health care by joining UPMC! As a leader in the industry, we are committed to enhancing the lives of all who are a part of our community. Without our employees, we would not be able to innovate health care for our patients and health plan members. To continue our tradition of excellence, we are in search of a full-time Managing Actuary. The Department of Health Economics is seeking a Managing Actuary! This credentialed healthcare actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for UPMC Health Plan in collaboration with leadership. - Develop and evaluate financial outcomes of value-based contracts. - Analyze medical cost utilization and unit cost data. - Identify top trend drivers of contract performance. - Develop strategies across cross-functional teams such as Network, Actuarial, Finance, and Clinical. - Support the execution of those strategies. - Supervise 2-3 supporting staff, including actuarial analysts. This position is a work-from-home position located anywhere within the continental US. Responsibilities - Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. - Direct a team to produce detailed actuarial and financial models which communicate near and long-term projections of financial performance of value-based provider reimbursement contracts. - Forecast and interpret financial results of value-based contracts, including variances from budget. - Develop healthcare claims cost and utilization trends for use in projections defining savings methodologies for provider arrangements. - Develop and gain support for data-based recommendations with team members from product, clinical, network, and strategy functions. - Bring clarity to complex problems using exceptional communication skills when engaging with senior leadership and technical audiences. - Apply an understanding of complex actuarial concepts, methods, and applications in a variety of situations. - Creatively leverage a wide range of datasets to inform key analyses. - Build strong relationships within cross-functional workgroups including Network, Pharmacy, Actuarial, Analytics, and Finance teams. - Ensure that departmental work products meet the highest standards of quality. - Manage and develop a team of 2-3 supporting staff including actuarial analysts. Qualifications - Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required; advanced degree preferred. - ASA certification by Society of Actuaries required; FSA preferred. - 6.5 years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. - Experience in development and settlement of value-based provider contracts, network and reimbursement methodology analysis, claims-based experience analysis, trend analysis is a strong preference. - Experience with commercial and government health programs preferred. - In-depth understanding of health insurance market dynamics. - Excellent problem-solving and analytical skills. - Good oral and written communication skills. - Adaptability and ability to prioritize effectively. - Strong PC skills. - Data retrieval skills and relational database experience. - Management experience preferred. Licensure, Certifications, and Clearances - ASA or FSA certification by Society of Actuaries required. - Membership in the American Academy of Actuaries required.

• Proactively provides resources, information, advice, and expertise with coworkers and stakeholders; influencing others through technical explanations and examples • Completes work assignments by applying up-to-date expertise within the Commercial Pharmacy benefit to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate. • Supports actuarial documentation by preparing and reviewing for accuracy and reasonability the actuarial portion of financial reports and responses to audits, client/broker inquiries and insurance regulations • Participates in product line evaluations by conducting analysis of product line financials, pricing, and valuation analysis; and analyzing product line performance, risk, and assumptions used in product / RFP development. • Stays abreast of actuarial research by examining developments in standards, assumptions, competition, and the legal and regulatory environment. • Assesses, analyzes and interprets financial risks and opportunities by applying actuarial methods; and conducting actuarial analyses. • Supports collaborations with business partners by understanding the business needs; translating actuarial constructs into non-technical recommendations; and complying with the Actuarial Standards of Practice. • Supports actuarial modeling by developing and enhancing actuarial models; assisting with the development of alternative assumptions and forecasts using in-house models or actuarial software; and assisting with validating the data and results.

• Applies understanding of functional area to complete risk-based analysis used in the development and enhancement of AXIS models and processes supporting VM-22 valuation and communicating results • Design and implementation of model improvements, including structure, assumptions, and runtime optimization • VM-22 interpretation and implementation to drive model governance (change management, controls, validation readiness) • Partnering with valuation, pricing, FP&A, and investment management to ensure consistency and usability of results • Analyzing model output to identify drivers, limitations, and opportunities for improving model performance and scalability (automation, workflow, cloud integration where applicable) • Staying current on VM-22 regulatory developments and translating into model changes • Partners with the core VM-22 team as well as other members of the actuarial community of practice.