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Manager, Actuarial Services

$134.6k - $249k

Centene Management Company LLC

You could be the one who changes everything for our 28million 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. Position Overview Conduct analysis, pricing and risk assessment to estimate financial outcomes and provide expertise and technical support in matters related to the successful and financially sound operations of the company's health plan businesses. Lead a small team while shaping Value‑Based Care (VBC) strategies, vendor arrangements, and contract design that drive significant financial value across multiple lines of business. Location Work remote from home anywhere in the Continental United States. Responsibilities Collaborate effectively with internal matrix partners to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals. Research and identify new business opportunities. Work with Medicare/marketplace and Medicaid teams to assess the impact of program and policy changes on trends and vendor contracts. Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes. Oversee health‑plan experience, identify trends, and recommend improvements. Perform other duties as assigned. Comply with all policies and standards. Lead the development of sophisticated financial models to assess financial risk and opportunity associated with proposed and existing VBC arrangements (e.g., shared savings/risk, capitation, bundled payments, specialty carve‑outs). Provide robust analytical support and subject‑matter expertise during negotiations with external vendors, defend analytical methodologies, and clearly articulate the company's financial positions related to VBC arrangements. Qualifications Bachelor’s degree or higher in actuarial science, mathematics, statistics, finance, economics, or a related field. At least 5years of actuarial, mathematical, statistical, scientific, financial analysis, reporting, data analytics, accounting, and/or underwriting experience. Assay and FSA designation required; member of the American Academy of Actuaries preferred. Leadership experience, preferably managing a small team. Must be authorized to work in the U.S. without the need for employment‑based visa sponsorship now or in the future. Certifications & Preferred Skills Fellow or Associate of the Society of Actuaries (or equivalent international certification) required. Member of the American Academy of Actuaries preferred. Experience with vendors and vendor arrangements. Proficiency in Excel, SQL, Teradata, Snowflake, and/or SAS. Experience working with claims and revenue data and analyzing trends. Compensation Pay Range: $134,600.00 – $249,000.00 per year. 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 Competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office schedules. Benefits may be subject to program eligibility. EEO & Work Authorization 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 any 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. We do not sponsor employment‑based visas, including H‑1B, L‑1, O‑1, H‑1B1, F‑1, J‑1, OPT, or CPT. #J-18808-Ljbffr Centene Management Company LLC

Vacancy posted 5 days ago
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