Chief Medicaid Actuary

Centene; United States; Remote; USD 100,000 - 160,000; Full time

Job summary

An established industry player is seeking a visionary Executive to lead their actuarial team. This remote role involves overseeing the actuarial function, guiding the development of competitive strategies, and ensuring effective operations for rate development and financial outcomes. You will be instrumental in shaping policies and methodologies that impact the organization’s profitability and marketability. If you have a strong background in actuarial science and a passion for transforming health services, this opportunity offers a dynamic environment where your leadership can make a significant difference.

Benefits

Health Insurance

401K Plan

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 10+ years of actuarial experience with a focus on health insurance.
• Management experience in hiring, training, and performance management.

Responsibilities

• Oversee actuarial function and ensure effective operations.
• Develop policies and strategies for rate development.

Skills

Actuarial Techniques

Health Care Reform Knowledge

Leadership

Financial Analysis

Education

Bachelor’s degree in Finance

Master’s degree

Job description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

Position Purpose: Oversee the actuarial function by providing vision, strategy, and leadership to ensure efficient and effective operations of rate development, business development, and financial outcomes.

• Develop and ensure application of actuarial policies, processes, and methodologies.
• Identify and assess the influence of all aspects of health insurance products upon the risk assumed and expected profitability and marketability.
• Establish department strategy to demonstrate and implement the product/segment behaviors, and the impact of pricing or product design decisions.
• Accountable for the development of the organization's rate structure, maintenance of adequate reserves, and development of new products.
• Counsels senior management team regarding actuarial techniques to determine competitive strategy.
• Oversees preparation and interpretation of data for rate and formula filings for state insurance departments.

Position location: Remote Nationwide

Qualifications: Bachelor’s degree in Finance, Business Administration, Actuarial Science, or related field; Master’s degree preferred. 10+ years of actuarial experience. Knowledge of Health Care Reform (ACA) regulations and implications on actuarial services and risk management. Previous management experience including responsibilities for hiring, training, assigning work, and managing performance of staff.

License/Certification: Associate or Fellow of the Society of Actuaries (ASA or FSA).

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 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 law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

About the company

Centene Corporation is a publicly traded managed care company based in St.