at Humana in Rogers, Arkansas, United States
The SPA Process and Models Lead supporting the execution of core Senior Product Actuarial processes and projects provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The SPA Process and Models Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The SPA Process and Models Lead role leads initiatives to analyze complex business problems and issues using data from internal and external sources. Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis. Ensures that policies and procedures align with corporate vision. Selects, develops, and evaluates personnel ensuring efficient operation of the function. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues 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.
The SPA Process and Models Lead in Senior Products Actuarial should be able to effectively execute on projects and processes focused on
+ Streamlining Related Parties process
+ SPA Quality Steering
+ Annual CMS Bid and Financial Audit and Remediation
+ State of Florida Agency of Health Care Administration (AHCA) submission and audit
+ Senior Products Actuarial three year strategy vision
+ MA Milliman Relationship
+ IT Resolution Support and Virtual Machines
+ Virtual Bid Development Support
+ SPA Business Continuity Plan
This requires that the individual be able to increase Humana’s Bid filing productivity and quality year over year by being:
+ expert in planning, communication, organization, and collaboration
+ experienced in building meaningful and succinct reporting using data and visual displays
+ able to measure and manage project and process metrics
+ accountable for task management during execution
+ able to execute meaningful and fearless escalation followed by tightly managed remediation
+ able to work well under pressure without jeopardizing quality
+ curious learner always striving to improve execution and operations
+ able to work with unmovable time frames that can require planning for multiple scenarios and workflows.
+ able to influence Vice Presidents and Directors regarding execution, quality, and risk mitigation
The Strategy Advancement Lead will need to be a Senior Products Actuarial culture champion, which means the individual must:
+ exemplify positivity and lead by example
+ be a team player that is here to serve and make others better
+ be a problem solver with the ability to identify root cause and design and implement a solution
+ be flexible and able to pivot at a moment’s notice while applying the needed skills and mindset
+ always be thinking about quality and risk remediation from planning to delivery
+ be creative and curious learner who naturally makes people / processes / technology better
+ Bachelor’s degree
+ 8 or more years of project and process execution experience
+ 2 or more years of project and process leadership experience
+ 5+ years utilizing Office Suite in a professional setting
+ 2 or more years of project management experience supporting IT or Actuarial departments
+ We will require?full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a?healthcare?company committed to putting health and safety first for our members, patients, associates and the communities we serve.
+ If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.
+ Experience in the actuarial or IT industry
+ PMP Credentialing
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.
Scheduled Weekly Hours