Associate Actuary, Risk and Compliance - Hartford - Humana

    Humana
    Humana Hartford

    2 days ago

    Description

    Become a part of our caring community and help us put health firstThe Associate Actuary, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies and analyzes potential risks and estimates the potential financial consequences, develops and recommends controls and cost-effective approaches to minimize risks. The Associate Actuary, Risk and Compliance work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
    The Associate Actuary, Risk and Compliance assesses and communicates information regarding actuarial/business risks across the organization. Provides peer review and counsel on a wide variety of company, industry, and regulatory practices.

    Activities may include monitoring developments in actuarial techniques, and researching laws and regulations applicable to actuarial science and insurance operations.

    Begins to influence department's strategy.

    Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.

    Exercises considerable latitude in determining objectives and approaches to assignments.

    This specific role will be part of a team tasked with assessment of risk, opportunities, and mitigation strategies to assure the compliant submission of bids to support Humana's pricing and product development of Medicare Advantage and Prescription Drug Plans that positively impact the financial performance of Humana.+ Supporting Humana's MA-PD and PDP bid filings by ensuring appropriate interpretation and implementation of CMS guidance, and implementation and execution of review standards and controls to minimize compliance risk associated with the bid filing+ Participate in CMS audits and reviews related to Humana's Medicare bids.+ Create and maintain process improvements to bid filings to continually improve Humana's ability to file compliant bids.


    Use your skills to make an impact*Required Qualifications
    + Bachelor's degree+ 5 or more years of technical experience+ ASA or FSA credential required+ Strong communication skills+ Must be passionate about contributing to an organization focused on continuously improving consumer experiencesPreferred Qualifications
    + Prior Health Actuarial experience+ Medicare Advantage background+ SQL and VBA experienceTravel:

    While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
    40Pay 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 yearThis 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:
    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 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

  • Associate, Risk/Compliance

    1 month ago

    Only for registered members Hartford Full time $98,400 - $129,150 (USD)

    +This is an Associate Risk/Compliance role at Oscar Health where you will ensure compliance with industry specifications standards regulations and laws. You will review operational practices create policies procedures perform regulatory reviews report into the Manager Regulatory ...

  • Senior Manager, Business Compliance and Risk Controls Audit

    1 month ago

    Only for registered members Hartford $67,900 - $199,144 (USD)

    This role supports network across all lines of business by understanding business operations to identify gaps and areas where new controls are required. · ...

  • Senior Manager, Business Compliance and Risk Controls Audit

    1 month ago

    Only for registered members Hartford, CT

    +Job summary · - As a Senior Manager Business Compliance Risk Controls Audit at CVS Health you will foster a positive provider experience by supporting SOC SOX controls through collaborating with cross-functional teams.++Understanding business operations to identify gaps areas wh ...

  • Risk Management Security Analyst

    53 minutes ago

    Access Health CT Hartford

    The Risk Management Security Analyst is responsible for assisting Access Health CT with its Information Security Risk Management Program. · Bachelor's degree in Management Information Systems, Cybersecurity, Computer Science or related Information Technology field. · A minimum of ...

  • Risk Management Security Analyst

    1 hour ago

    Only for registered members Hartford $79,000 - $88,000 (USD)

    The Risk Management Security Analyst is responsible for assisting Access Health CT (AHCT) with its Information Security Risk Management Program, · ...

  • Cybersecurity Corporate Audit Manager

    1 month ago

    Only for registered members CT - Hartford Full time $101,970 - $203,940 (USD)

    We are looking for a cybersecurity auditor with auditing, risk, or compliance background to lead cybersecurity audits and serve as the cybersecurity consultant on other audit projects within Internal Audit. · Lead audit teams in an independent internal review of security controls ...

  • IT/OT GRC Program Manager

    4 days ago

    Only for registered members Hartford, CT

    The ideal candidate combines strategic program leadership with hands‑on execution-driving compliance initiatives, partnering with engineering teams, and maintaining a consistent audit‑ready posture. · Lead the development, maintenance, and execution of IT and OT security framewor ...

  • Director, Risk Management, Hartford Region

    1 month ago

    Only for registered members Hartford, CT

    Hartford HealthCare's unified culture enhances access affordability equity and excellence. · Position Summary The Director of Risk Management will lead oversee operations risk management services within Hartford Region. · ...

  • Director, Risk Management, Hartford Region

    1 month ago

    Only for registered members Hartford

    The Director of Risk Management will lead risk management services in the Hartford Region of Hartford HealthCare. · Oversee risk management services in acute care and hospital-based outpatient settings. · Improve safe practices and patient outcomes through regulatory readiness. · ...

  • Compliance Officer, Family Office

    3 days ago

    Only for registered members Hartford

    TheCompliancetrafficcentersonbuildingacomprensivemulti-jurisdictionalconformancetoa growinggloballyactivenvestmentorganization.Thispositionconsolidatesexistingpoliciescreatesscalableprocessesandestablishesastronggovernancefoundationspanningtradingregulatoryoperationalandenterpris ...

  • Sr. Cyber GRC Specialist

    1 month ago

    Only for registered members Hartford, CT

    We are seeking a highly experienced and knowledgeable Cyber GRC Senior Specialist to join our team. · As a key member of our team, you will be responsible for leading the development and maturity of our cGRC programs, ensuring compliance with internal policies and external regula ...

  • VP Compliance

    1 week ago

    Only for registered members Hartford

    A large well-established retirement and insurance platform is seeking a Vice President Compliance to lead enterprise oversight of annuity suitability agent supervision and broker-dealer monitoring programs. · This position serves as a key supervisory control owner and plays an im ...

  • Senior Consultant

    1 week ago

    Only for registered members Hartford

    Dice is the leading career destination for tech experts at every stage of their careers. · ...

  • Compliance & Security Engineer

    4 weeks ago

    Only for registered members Hartford

    If you've owned compliance frameworks end-to-end and enjoy getting into the weeds—building controls closing gaps supporting audits—this role was built for you. · Own and execute compliance programs across frameworks such as NIST CMMC PCI ISO 27001 · Perform gap assessments map co ...

  • IT Security Engineer

    1 month ago

    Only for registered members Hartford

    We are seeking · a Security Engineer with strong technical expertise · and a focus on compliance to join our team.The ideal candidate will be responsible for designing, · implementing, and maintaining security solutions while ensuring that our systems · and processes meet indu ...

  • Senior Consultant

    1 week ago

    Only for registered members Hartford, CT

    Evaluate retail payments and collections processes controls and compliance frameworks identifying operational or regulatory gaps driving standardization across business units Develop insight-driven recommendations to improve recoveries compliance customer experience by leveraging ...

  • Head of Operational Risk Assessments and Governance

    1 month ago

    Only for registered members Hartford

    The Opportunity · MassMutual is seeking a strategic and experienced risk leader to serve as Head of Operational Risk Assessments and Governance. · This second line of defense role is responsible for the enterprise-wide oversight and management of process execution risk, and provi ...

  • Senior Consultant Fraud Operations

    1 week ago

    Only for registered members Hartford

    Assess fraud operations processes controls case management and monitoring effectiveness ensuring compliance with internal policies and standardization across business units Develop structured recommendations to improve operational effectiveness and loss prevention leveraging inte ...

  • Information Security Manager

    4 weeks ago

    Only for registered members Hartford, CT

    We are seeking an experienced Information Security Manager to oversee our organization's cybersecurity framework.The ideal candidate will have a strong background in developing security policies and managing compliance. · ...

  • Senior Consultant Fraud Operations

    1 week ago

    Only for registered members Hartford, CT

    Dice is the leading career destination for tech experts at every stage of their careers. Our client seeks the following. · ...

Jobs
>
Hartford