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Senior Actuarial Analyst

Role overview

Qualifications

  • Bachelor’s degree in related field or equivalent experience
  • Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5)
  • Experience in healthcare
  • Experience in Excel, SAS, SQL, Snowflake and/or Teradata

Responsibilities

  • Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
  • Assist with developing trends and baseline targets based on analysis of data and other pertinent information
  • Analyze and evaluate vendor fees and shared savings
  • Collaborate with cross-functional teams, including Medical Economics, Enterprise Partnerships, Network, and Clinical teams

About the company

Centene Corporation logo

Centene Corporation

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
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.
 

Applicants for this role have the flexibility to work remote from home anywhere in the Continental US.

Position Purpose: Assist in financial analysis, pricing and risk assessment to estimate outcomes.

Why this role is appealing: This is a critical role on a high-impact team driving significant financial value through Value-Based Care (VBC) initiatives across the organization. You'll gain hands-on experience with VBC contract modeling, healthcare data analytics, financial performance analysis, vendor partnerships, and cross-functional collaboration across multiple lines of business, providing diverse work, continuous learning, and exposure to complex challenges with minimal repetitive tasks.

Our actuarial development program is designed to support your success through comprehensive exam support, mentorship, and continuous learning opportunities. You'll join a collaborative and supportive team that values knowledge sharing, celebrates exam progress, and is invested in helping actuaries grow and succeed throughout their careers.

In this Sr. Actuarial Analyst role, you will:

  • Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
  • Assist with developing trends and baseline targets based on analysis of data and other pertinent information
  • Analyze and evaluate vendor fees and shared savings
  • Develop and run data reports
  • Assist with determining the equitable basis for vendor contract
  • Performs other duties as assigned
  • Complies with all policies and standards

Additional responsibilities will include:

  • Supporting the development and maintenance of financial models for Value-Based Care (VBC) contracts (e.g., assisting with shared savings/risk and capitation analyses in Excel).
  • Analyzing claims, vendor performance, and other healthcare datasets using tools such as SQL, SAS, or Python to help establish baselines, track performance, and identify trends.
  • Assisting with the preparation of financial analyses and materials used in discussions with external vendors and internal stakeholders.
  • Collaborating with cross-functional teams, including Medical Economics, Enterprise Partnerships, Network, and Clinical teams, to gather data, validate assumptions, and support ongoing initiatives.
  • Identifying data discrepancies, reporting issues, and analytical findings, and escalating concerns or recommendations to more senior team members as appropriate.

Education/Experience:

  • Bachelor’s degree in related field or equivalent experience.
  • Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.

License/Certification: Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams

Preferred Qualifications / Skills:

  • Experience in healthcare
  • Experience in Excel, SAS, SQL, Snowflake and/or Teradata

NOTE: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Pay Range: $70,100.00 - $126,200.00 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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Marcus Rivera

Chief Revenue Officer

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