Remote Senior Actuary - Healthcare Risk Adjustment

Centene Corporation; Washington (CA); Remote; USD 135,000 - 249,000; Full time

Job summary

Centene Corporation seeks a Senior Actuary to lead data-driven risk adjustment analysis in a fully remote role across US markets. The position blends actuarial expertise with data analytics, coding, and validation to estimate financial outcomes and support strategic decision making.

Qualifications include ASA with 7+ years or FSA with 5+ years, MAAA membership, healthcare actuarial experience preferred, and strong SQL/SAS/Snowflake skills.

Qualifications

• Bachelor's Degree in Business or related field.
• 7+ years actuarial experience with ASA or 5+ years with FSA.
• MAAA membership required.
• Healthcare actuarial experience preferred.
• Strong data analytics and coding skills in SQL and SAS.
• Experience with risk adjustment models and Snowflake.

Responsibilities

• Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models.
• Act as the team’s point of contact for an assigned group of markets.
• 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.
• Determine equitable basis for distributing money for insurance benefits.
• Perform other duties as assigned and comply with all company policies and standards

Skills

Actuarial analysis

Data analytics

Team collaboration

Problem solving

Learning mindset

Education

Bachelor's Degree in Business or related field

Tools

SQL

SAS

Snowflake

Process automation

Job description

Centene Corporation seeks a Senior Actuary to lead data-driven risk adjustment analysis in a fully remote role across US markets. The position blends actuarial expertise with data analytics, coding, and validation to estimate financial outcomes and support strategic decision making.

Qualifications include ASA with 7+ years or FSA with 5+ years, MAAA membership, healthcare actuarial experience preferred, and strong SQL/SAS/Snowflake skills.