To be considered for this role, candidates must have an ASA or FSA designation, a bachelor’s degree or higher, and at least 5 years of actuarial experience.
Location: Work remote from home anywhere in the Continental US.
Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sounds operations of the company's health plan businesses.
Why This Role Is Appealing:
- As a critical leader on the team, you'll shape Value-Based Care (VBC) strategies, vendor arrangements, and contract design that drive significant financial value across multiple lines of business
- Lead a small team while enjoying diverse, high-visibility work, broad organizational exposure, and minimal repetitive tasks
In this Manager, Actuarial Services role, you will:
- Collaborate effectively with internal matrix partners to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals
- Research and identify new business opportunities
- Work with Medicare/marketplace and Medicaid teams to assess impact of program/policy changes on trends and vendor contracts
- Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
- Oversee health plan experience, identify trends and recommend improvements
- Performs other duties as assigned
- Complies with all policies and standards
Additional responsibilities will include:
- Lead the development of sophisticated financial models to assess financial risk and opportunity associated with proposed and existing VBC arrangements (e.g., shared savings/risk, capitation, bundled payments, specialty carve-outs)
- Provide robust analytical support and subject matter expertise during negotiations with external vendors, defend analytical methodologies, and clearly articulate the company's financial positions related to VBC arrangements
Education/Experience:
- Bachelor's Degree or equivalent experience required
- 5+ years of actuarial, mathematical, statistical, scientific, financial analysis, reporting, data analytics, accounting, and/or underwriting experience
- Previous management experience preferred
Certifications: Fellow or Associate of the Society of Actuaries (or equivalent international certification) required, and Member of American Academy of Actuaries preferred
Preferred Skills:
- Experience with Vendors and vendor arrangements
- Experience with Excel, SQL, Teradata, Snowflake and/or SAS
- Experience working with claims and revenue data and analyzing trend
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: $134,600.00 - $249,000.00 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.
