Job Description

Position Purpose Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources. Key Details This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders. Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies. Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders. Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data. Build actuarial models with clear, flexible assumption inputs and summarized outputs. Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes. Assist with developing probability tables based on analysis of statistical data and other pertinent information. Analyze and evaluate required premium rates. Assess cash reserves and liabilities to enable payment of future benefits. Develop and run data reports. Assist with determining an equitable basis for distributing money for insurance benefits. Participate in merger and acquisition analysis. Perform other duties as assigned. Comply with all policies and standards. Education / Experience 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). For example, 2 years of actuarial experience and 3 passed actuarial exams. License / Certification Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams. Pay Range $70,100.00 - $126,200.00 per year Benefits competitive pay health insurance 401K and stock purchase plans tuition reimbursement paid time off plus holidays a flexible approach to work with remote, hybrid, field or office work schedules 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 may be subject to program eligibility. Equal Opportunity 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 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 #J-18808-Ljbffr

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