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Actuary

Role overview

Qualifications

  • Bachelor's Degree in related field or equivalent experience
  • Associate of the Society of Actuaries (ASA)
  • 5+ years actuarial experience
  • Experience in govt funded healthcare or Value-Based Care analytics preferred

Responsibilities

  • Conduct analysis, pricing and risk assessment to estimate financial outcomes
  • Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
  • Extract, clean, and analyze complex claims and clinical datasets
  • Participate in merger and acquisition analysis

Key facts

Other skills

  • Mathematics
  • Microsoft Excel
  • Problem Solving
  • Teamwork

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Welcome! To be considered for this Actuary role, candidates must have at least an ASA designation, a bachelor’s degree, and at least 5 years of actuarial experience.

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes in support of the enterprise’s highest-priority Value-Based Care (VBC) initiatives.

In this Actuary role, you will:

  • Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
  • Support methodology development and refinement of valuation approaches used to measure program efficacy and shared savings
  • Extract, clean, and analyze complex claims and clinical datasets to stand up valuation models end-to-end
  • Ensure cash reserves and liabilities enable payment of future benefits
  • Determines equitable basis for distributing money for insurance benefits
  • Participate in merger and acquisition analysis
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience:

  • Bachelor's Degree in related field or equivalent experience required
  • 5+ years actuarial experience required

 

Licenses/Certifications:

  • Associate of the Society of Actuaries (ASA) required
  • Member of the American Academy of Actuaries preferred

Preferred Qualifications:

  • Experience in govt funded healthcare, Value-Based Care analytics, or medical cost trend analysis
  • Hands-on data extraction and modeling skills (SQL), advanced Excel, R/SAS/Python
  • Experience evaluating financial impact of clinical programs or care management initiatives
  • Comfort navigating ambiguity and scoping undefined business problems without an established playbook

Applicants for this role have the flexibility to work remotely from home anywhere within the continental United States.

Pay Range: $107,700.00 - $199,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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