Insurance Coder Remote Jobs in Charleston, SC (NOW HIRING)

Become a part of our caring community
Reports To: Associate Director, Actuarial Analytics/Forecasting
FLSA: Exempt/Salaried
The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Position Type: Remote
Work Schedule: Full-time/40 Hours
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. 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.

• Opportunity to gain hands-on Medicare Advantage experience within a rapidly growing business area, outside of traditional bid cycle demands.
• Primary focus on leading analysis and pricing of value-based care contracts within the Home Health space.
• Join a newly established, high-growth team responsible for building foundational processes and supporting evolving strategic initiatives.
• Contribute to initiatives that enhance care delivery and outcomes for members in home-based settings.
• Engage in a diverse scope of work, including contract pricing, cost forecasting, and ad hoc analytics to support business decision-making.

Use your skills to make an impact
Required Qualifications

• Bachelor's degree is required.
• Associate of Society of Actuaries (ASA) designation is required.
• Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) is required.
• Active membership in the American Academy of Actuaries must be maintained in good standing throughout employment.
• Strong communication skills.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Prior Medicare Advantage or Health insurance industry experience.
• Demonstrated proficiency in SAS, SQL, or Python, with at least 3 years of experience in coding and data manipulation.
• Prior experience in pricing or actuarial modeling preferred.
• Exposure to Value-Based, Risk Sharing, or other alternative payment models.
• Demonstrated proficiency in data visualization tools (e.g., Power BI), with experience designing and delivering reports and dashboards.
• Experience working with cloud-based data platforms and technologies (e.g., Snowflake, Databricks) preferred.
• Ability to work in a fast-paced environment.

Additional Information

• Normal Hours of Operation: M-F / 8a-5p (ET)
• Annual Bonus Eligible: Yes, eligible for the annual incentive bonus.
• Travel Expectations: Up to 10% travel may be required, including periodic participation in team on-site meetings, conferences, and organizational events.
• Comprehensive benefits begin on the first day of employment.
• Robust career growth and advancement opportunities within a high-growth environment, complemented by ongoing continuing education and professional development support.

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.
Application Deadline: 07-24-2026
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.
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.