Actuary – Value-Based Care

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Arizona, +43 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🏛️ District of Columbia – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Conduct analysis, pricing, and risk assessment to estimate financial outcomes • Support the Vendor Analytics Team in ensuring VBC contracts are actuarially sound and provide financial value • Develop financial models for value-based care arrangements, including shared savings/risk, capitation, bundled payments, and specialty carve-outs • Analyze claims and vendor performance data to establish baselines, measure performance, and identify trends • Provide analytical support and subject matter expertise during external vendor negotiations • Communicate complex findings and recommendations to technical and non-technical audiences, including leadership • Collaborate with internal teams to gather input, align on strategy, and ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals • Identify issues in vendor contracts and performance, develop analytical approaches, and drive solutions • Work with Medicare/Marketplace and Medicaid teams to assess the impact of program and policy changes on trends and vendor contracts • Research and identify new business opportunities • Apply mathematics, probability, statistics, finance, and business principles to calculate financial outcomes • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in related field or equivalent experience required • 5+ years of actuarial experience with ASA designation, or 4+ years with FSA designation • Associate in Society of Actuaries (ASA) certification required • Member of the American Academy of Actuaries (MAAA) preferred • Experience in vendor arrangements, healthcare claims and revenue data, and trend analysis • Preferred technical skills include Excel, SQL, Teradata, and Snowflake • Knowledge of mathematics, probability, statistics, principles of finance, and business • Fully remote within the continental U.S. • Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

🏖️ Benefits

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume