Senior Actuarial Analyst

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.

• 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

• →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.

• 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.

• 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.

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