Senior Actuarial Analyst – Risk Adjustment

🔥 0 minutes ago

🏈 Alabama, Arizona, +44 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 🍑 Georgia – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟠 Senior

📊 Actuary

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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

• Support risk adjustment initiatives through data analysis, modeling, actuarial reporting, and data validation • Assist with financial analysis, data validation, and risk assessment to estimate outcomes • Support data submissions, rate reconciliation, audits, and chart chase programs • Focus on data completeness and accuracy • Run and analyze market-level results using CDPS+Rx or similar risk adjustment models • Act as the team’s point of contact for an assigned group of markets • Apply mathematics, probability, statistics, finance, and business knowledge to calculate financial outcomes • Assist with developing probability tables based on statistical data and other pertinent information • Analyze and evaluate required premium rates • Develop and run data reports • Identify data issues and uncover meaningful insights • Communicate findings to support business decisions • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Bachelor's degree in a related field or equivalent experience • Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5) • Actuarial experience • Demonstrated progress toward an actuarial credential through successful completion of actuarial exams • Experience with data validation, manipulation, and quality assurance preferred • Strong SQL, coding, and data analytics skills working with large datasets • Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation highly desirable • Knowledge of mathematics, probability, statistics, finance, and business • Fully remote within the continental U.S.; ET and CT time zones preferred

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Exam support • Professional development opportunities

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