Associate Actuary - ACA, Pricing

Centene Corporation; Massachusetts; Remote; USD 86,000 - 155,000; Full time

Job summary

A leading company in the healthcare sector is seeking an Associate Actuary to focus on pricing strategies for ACA Marketplace plans. The role involves conducting actuarial analysis, supporting rate filings, and collaborating with regulators. Candidates should have an ASA designation, a bachelor's degree, and at least two years of actuarial experience. This position offers competitive pay and a flexible work environment.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 2+ years of actuarial experience required.
• Experience with ACA pricing preferred.
• Ability to explain complex actuarial concepts.

Responsibilities

• Develop and optimize pricing strategies for ACA Marketplace plans.
• Conduct in-depth actuarial analysis to estimate financial outcomes.
• Support the rate filing process and communicate with regulators.

Skills

Advanced Excel skills

Data querying and wrangling

Strong financial acumen

Excellent communication skills

Education

Bachelor's degree in related field

Associate of the Society of Actuaries (ASA)

Tools

SQL

R

SAS

Power BI

Job description

Join to apply for the Associate Actuary - ACA, Pricing role at Centene Corporation

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Join to apply for the Associate Actuary - ACA, Pricing role at Centene Corporation

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.

Important Note: To be considered for this position, candidates must hold an ASA (Associate of the Society of Actuaries) designation, a bachelor's degree, and possess a minimum of two years of actuarial experience.

Position Purpose: As a key member of our actuarial team, you will focus primarily on pricing Affordable Care Act (ACA) Marketplace plans. This role involves conducting in-depth actuarial analysis to accurately estimate financial outcomes and assess associated risks, considering the competitive and regulatory landscapes of the ACA market.

In this Associate Actuary role, you will:

1. Develop, analyze, and support optimizing pricing strategies for ACA Marketplace plans that consider the need for adequate premium rates and the competitive dynamics of a market.
2. Develop and review key pricing inputs and assumptions, including experience, reimbursement, and morbidity analyses.
3. Support the rate filing process in at least one state/market, including preparing rate filings and effective communication with federal and state regulators.
4. Serve as the main point of contact for all actuarial related activities for an assigned health plan.
5. Research and analyze the impact of various federal and state legislative/regulatory changes.
6. Analyze various data reports, identify trends and gaps and recommend action.

Why this role is appealing: This role offers a unique opportunity to shape the growth of Centene’s Ambetter product and help maintain our leadership in the Marketplace. You'll be part of an actuarial team that values innovation, embraces advanced analytics, and empowers you to turn complex data into impactful pricing strategies.

Education/Experience: Bachelor's degree in related field or equivalent experience. 2+ years of actuarial experience.

License/Certification: Associate of the Society of Actuaries (ASA) (or equivalent international certification).

Highly preferred skills:

• Advanced Excel skills.
• Proficient in data querying and wrangling using tools such as SQL, R, SAS, or Power BI.
• Preferred 2+ years of ACA pricing experience, including rate filing submissions, or an equivalent background in pricing/rate setting for health insurance products.
• Strong financial acumen with a solid understanding of actuarial and financial principles in a healthcare context.
• Excellent communication skills with a proven ability to explain complex actuarial concepts to diverse audiences.

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 work schedule is PST time zone is preferred, yet not required.

Pay Range $86,000.00 - $154,700.00 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. Total compensation may also include additional forms of incentives.

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.