
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.
🔥 3 minutes ago
🌵 Arizona, Colorado, +38 more states – Remote
💵 $134.6k - $249k / year
⏰ Full Time
🟠 Senior
📊 Actuary
👻 Ghost score 0%
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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.
• Conduct analysis, pricing, and risk assessment to estimate financial outcomes • Support the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation initiatives • 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 principles to calculate financial outcomes • Develop probability tables based on statistical data and other pertinent information • Determine equitable bases for distributing money for insurance benefits • Translate complex analyses into actionable business insights • Perform other duties as assigned and comply with company policies and standards
• Bachelor's Degree in Business or related field required • 7+ years of actuarial experience with an ASA designation, or 5+ years of actuarial experience with an FSA designation • MAAA membership required • Fellow or Associate in Society of Actuaries certification required • Healthcare actuarial experience highly preferred • Medicaid experience preferred but not required • Strong coding and data analytics skills, particularly in SQL and large-scale data analysis • Strong experience in data validation, manipulation, and quality assurance • Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation strongly preferred • Strong problem-solving skills • Ability to work effectively as part of a team • Eastern and Central time zones preferred
• Competitive pay • Health insurance • 401K and 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
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