Position Purpose:
Conduct analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation initiatives.
Key Details: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.
In this Senior Actuary role, you will: Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models
Act as the team's point of contact for an assigned group of markets
Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
Develop probability tables based on analysis of statistical data and other pertinent information
Determine equitable basis for distributing money for insurance benefits
Perform other duties as assigned and comply with all company policies and standards
Education/Experience:
Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required
Licenses/Certifications:
Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required
Pay Range:
$134,600.00 - $249,000.00 per year
At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including:
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
a flexible approach to work with remote, hybrid, field or office work schedules
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
