Actuary - Medicare Duals

Centene • Permanent • West Virginia, United States • $50.77 - $93.94 / * • 1d ago

You could be the one who changes everything for our 28 million 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.

Welcome! To be considered for this role, candidates must have an ASA or FSA designation, MAAA, a bachelor's degree, and at least five years of actuarial experience.

Position Purpose: Centene is seeking a motivated, experienced, and self-driven actuary to join our Medicare Duals team. This role offers a unique opportunity to contribute to high-impact Medicare Duals analysis while playing a key role on the Medicare Bid Team. The ideal candidate will take ownership of bid assumptions, conduct thorough bid reviews, and support bid certification efforts-helping drive strategic decision-making and ensuring accuracy in our Medicare bids submissions. Conduct analysis, pricing and risk assessment to estimate financial outcomes.

What's Appealing About This Role:

This role offers a unique blend of strategic influence and cross-functional collaboration, especially as the company deepens its investment in the Medicare Duals space. You'll be part of a team that's not only shaping bid strategy but also educating and guiding others across the organization.

Play a key role in educating teams company-wide on the complexities of duals and Medicare.
Collaborate with departments across the enterprise to ensure duals members are accurately represented.
Contribute to ongoing innovation in the Medicare bid process through off-season analysis and strategic improvements.
Work in a dynamic, high-impact environment that values clear communication and analytical thinking

In this Actuary role, you will:

Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
Develop probability tables based on analysis of statistical data and other pertinent information
Review insurance plans and calculate required premium rates
Determines equitable basis for distributing money for insurance benefits
Conducting analyses, pricing, and risk assessment to estimate financial outcomes
Owning bid assumptions and certifying a set of bids
Being a Medicare Duals leader within the company

Highly Preferred Skills:

Experience working with dual-eligible members, particularly within the Medicare space
Advanced proficiency in Excel and SAS.
Experience with Power BI
Ability to communicate complex topics clearly to both actuarial and non-actuarial audiences

Education/Experience: Bachelor's degree or in related field or equivalent experience. 5+ years of actuarial experience.

License/Certification: Associate of the Society of Actuaries (ASA) (or equivalent international certification); Member of American Academy of Actuaries (or equivalent international membership)

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Due to the needs of the business, ideal schedule is CST/EST time zones.

Eligibility Reminder: To ensure your application is considered, please review the minimum qualifications listed above. Applications from candidates who meet these requirements will be reviewed.

Pay Range: $105,600.00 - $195,400.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and 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.

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

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