Lead Actuary - PCO

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 The Lead Actuary, Analytics/Forecasting provides advanced analytical leadership and expertise in the analysis and forecasting of financial, economic, and other data to inform and support strategic and operational decisions. This role establishes and oversees key metrics and delivers complex data analyses. You will partner with senior leaders to drive business intelligence across the organization. The Lead Actuary evaluates industry, economic, financial, and market trends. You will forecast the organization's short, medium, and long-term financial and competitive position. The Lead Actuary, Analytics/Forecasting works on problems of substantial scope and complexity.

The Lead Actuary, Analytics/Forecasting ensures enterprise-level data integrity by designing, implementing, and overseeing robust processes and controls for data management and flow. You will collaborate with a broad range of key stakeholders, including executives and high-level non-actuarial leaders, to understand complex business needs, proactively troubleshoot systemic issues, and lead root cause analyses. The Lead Actuary develops and implements cost-effective, strategic resolutions for data anomalies, ensuring alignment with organizational objectives. In addition to advising executives in the development of enterprise and departmental strategies on matters of significance, you will exercise advanced independent judgment and decision-making on highly complex technical and operational issues. The role operates with minimal supervision, applying expertise to interpret variable factors, determine optimal courses of action, and drive change across functions.

Use your skills to make an impact
 

Responsibilities:

• Provide advanced analytical leadership and expertise in the analysis and forecasting of financial, economic, and operational data to inform strategic and operational decisions.

• Establish, monitor, and refine key metrics to evaluate organizational performance and drive business intelligence.

• Deliver complex data analyses and insights to senior leaders, supporting executive decision-making.

• Evaluate industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position.

• Oversee end-to-end program evaluation, including ROI analysis, benchmarking, claims experience monitoring, and external vendor opportunity assessments.

• Identify actionable business opportunities and recommend solutions to enhance operational and financial performance.

• Collaborate with data science and cross-functional teams to develop and implement advanced analytical models and enhance analytic capabilities.

• Support strategic initiatives such as specialty and cost savings programs, value-based arrangements, and the development of advanced performance reporting and operational insights.

• Drive analytic strategy and develop innovative solutions to complex business problems, ensuring quality and compliance of actuarial deliverables.

• Serve as a senior resource for executive leadership, lead cross-functional initiatives, and mentor team members to build analytic capacity and consistency.

• Design, implement, and oversee robust processes and controls to ensure data management integrity and appropriate data flow across the enterprise.

• Proactively collaborate with key stakeholders—including executives and non-actuarial leaders—to understand business needs, troubleshoot systemic issues, and lead root cause analyses.

• Develop and implement cost-effective, strategic resolutions for data anomalies, ensuring alignment with organizational objectives.

• Advise executives on the development of enterprise and departmental strategies, exercising advanced independent judgment on highly complex technical and operational issues.

• Operate with minimal supervision, interpreting variable factors and determining optimal courses of action to drive change across functions.

Required Qualifications

• Bachelor's Degree from an accredited institution

• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations.

• MAAA

• Advanced experience verbally and written communicating with stakeholders

• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Preferred Qualifications

Experience in SAS, SQL, or other relevant experience

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates have the self-provided internet service you must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Leadership approves satellite, cellular and microwave connection for use only if they give approval.

• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet our requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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.

 

$129,300 - $177,800 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.

Application Deadline: 11-11-2026
About us
 About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

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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.