Remote Risk Adjustment Analytics Specialist

Centene Corp.; Florida; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corp. is seeking an actuarial professional for its Actuarial Development Program. This fully remote role focuses on data analysis, risk adjustment modeling, and financial forecasting as you progress toward actuarial credentials.

You will collaborate with cross-functional teams, perform data validation and reporting, and use SQL, SAS, Snowflake, and automation to drive insights for healthcare operations. Comprehensive benefits and exam support are provided.

Qualifications

• Bachelor's degree in a related field or equivalent experience.
• Combination of years of experience and actuarial exams passed equals or exceeds 5 (Rule of 5).
• Professional development and exam progression supported.

Responsibilities

• Run and analyze market-level results using CDPS+Rx or similar risk adjustment models.
• Act as the team’s point of contact for an assigned group of markets.
• Apply knowledge of mathematics, probability, statistics, 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.
• Develop and run data reports.
• Perform other duties as assigned and comply with all policies and standards.

Skills

Actuarial experience

SQL

Coding

Data analytics

Education

Bachelor's degree in a related field

Tools

SAS

Snowflake

Process automation

Job description

Centene Corp. is seeking an actuarial professional for its Actuarial Development Program. This fully remote role focuses on data analysis, risk adjustment modeling, and financial forecasting as you progress toward actuarial credentials.

You will collaborate with cross-functional teams, perform data validation and reporting, and use SQL, SAS, Snowflake, and automation to drive insights for healthcare operations. Comprehensive benefits and exam support are provided.