Senior Manager, Actuarial Services – Medicare

🔥 18 hours ago

🌵 Arizona, California, +42 more states – 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

💵 $134.6k - $249k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 0%

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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

• Conduct strategic analysis and peer review • Build and support tools for planning processes, pricing, and risk assessment • Provide expertise and technical support for financially sound business operations • Contribute to Medicare strategic initiatives and planning • Own tools and processes supporting internal users • Review and certify MA bids if eligible for American Academy of Actuaries membership • Train and teach direct reports technical skills and Medicare program knowledge • Calculate financial outcomes using mathematics, probability, statistics, finance, and business principles • Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and private agencies • Oversee health plan experience, identify trends, and recommend improvements • Research new business opportunities and legislative changes • Present pricing, risk, and opportunity results to internal business partners • Develop actionable recommendations for management • Lead cross-functional teams addressing organizational issues • Recommend policy and procedure changes and perform other assigned duties • Lead 2–4 direct reports

🎯 Requirements

• 6+ years of actuarial experience • Fellow or Associate of the Society of Actuaries designation required • Bachelor's Degree or equivalent experience required • MAAA membership highly preferred • Healthcare and Medicare Advantage actuarial experience • Experience with cost trend analysis, bid development, and actuarial tool development • Advanced Excel, including arrays, PivotTables, VBA, and queries • SQL • SAS • Ability to leverage AI tools for actuarial analysis and decision-making • Ability to work ET/CT preferred, not required • If eligible for American Academy of Actuaries membership, ability to review and certify MA bids

🏖️ Benefits

• 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 • Competitive pay • Additional forms of incentives may be included in total compensation