Managing Actuary

Apply by eMail:15342956.185@jobfrenzy1.com

Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Managing ACTUARY
Assignment: ACTUARIAL - Medicare
Location: Louisville, Kentucky


Are you a fit?
Are you a strategic thinker and a proven leader? Would you enjoy using your ACTUARIAL knowledge to oversee quantification of risk and ensure departmental compliance with all applicable laws and regulations?

Assignment Capsule

One role will be to direct a team that works closely with our regional actuary partners to develop the Medicare Bid actuarial model. As the perfect candidate you will possess 5 years of proven actuarial experience (preferably with some type of rating or modeling exepence). You will also possess 2-3 years background in SQL with some exposure to VBA. Finally at least 3 years of proven/progressive leadership experience in necessary to ensure success.

The second role will be to direct a team that will coordinate all CMS bid financial audits and provide project management support to all of the Senior Products ACTUARIAL team. As a major player in the Medicare space, Humana undergoes a number of such audits every year. This will involve significant contact and coordination with departments throughout the company.

As a managing ACTUARY you will: lead a team of ACTUARIAL associates in the assessment of risk, opportunities, and mitigating strategies that could positively impact the financial performance of Humana. You will also actively promote a strong management team, providing technical and staff leadership in order to aid pricing, product development and improved experience reporting initiatives within the company.

Other components include the following.
Develop area-specific plans and goals that help enhance business-wide objectives.
Oversee the production and tracking of cost and utilization statistics for Humana's member population, and data mining and modeling of new intervention and outreach opportunities.
Ensure compliance with ACTUARIAL Standards of Practice and CMS regulations, guidance and instructions for bid preparation and review.
Create and support cooperative working relationships, both within the company-at-large and with outside business partners.

Key Competencies

Builds Human Capital: You deliver current, direct, complete and actionable feedback to associates to support continuous learning and growth; while ensuring that diverse perspectives are widely held, modeled and promoted. By selecting, deploying, developing and rewarding diverse talent, you are able to foster Humana's strategy and meet business requirements.
Acts Strategically: You foster a consistent understanding of strategy, translate it into defined plans, and "stay the course" to implement it, while anticipating and identifying where change is needed.
Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
Leadership: You inspire extraordinary results by: engaging associates, valuing diversity and shaping culture to support a high performance environment.


Role Essentials

Bachelor's Degree in ACTUARIAL Sciences, Applied Mathematics or a related field.
ACTUARIAL experience in the group health solutions industry or a similar ACTUARIAL work environment. Prior Medicare experience is desirable, but not required.
Membership in the American Academy of Actuaries and Associate or Fellow status with the Society of Actuaries.
It is very important that the successful candidate for this role is an excellent team player.


Role Desirables
Completion of at least 3 or more CAS/SOA examinations

Reporting Relationships
You will have between 2 and 6 direct reports, and you will report to a Director. This area is under the leadership of the SVP, Medicare Operations.


Additional Information
The ability

This job provides relocation assistance.

Requirements:
See Above

Education: Bachelor

Experience: More than 5 years

Travel: About 25%

Apply by eMail:15342956.185@jobfrenzy1.com

Job Created: Sat Oct 24 2009 04:27:28 AM
Last Modified: Sat Oct 24 2009 04:27:28 AM