Senior Actuarial Analyst - Medicare

Centene Corporation; Arizona; Remote; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote work flexibility

Job summary

Centene Corporation seeks a Sr. Actuarial Analyst to assist in forecasting, pricing, and risk assessment for Medicare Advantage financial performance. The role requires actuarial experience and progress toward an actuarial credential, with a Rule of 5 approach to experience and exams.

Fully remote within the Continental U.S. is offered. Responsibilities include developing quarterly forecasts, analyzing Medicare FFS costs and provider risk-sharing, and preparing exhibits for technical and

Qualifications

• Actuarial experience with Medicare or health plans preferred.
• Progress toward actuarial credential required (Rule of 5).
• Strong Excel and data-analysis skills; SQL knowledge a plus.

Responsibilities

• Support quarterly forecasts for Medicare Advantage financials.
• Analyze FFS medical costs, savings initiatives, and provider risk-sharing.
• Develop reports to identify trends, variances, and performance drivers.
• Communicate findings clearly to technical and non-technical audiences.
• Collaborate with partners to meet forecasting and analysis needs.

Skills

Actuarial experience

Actuarial exams passed

Excel

Data analytics

Communication

Education

Bachelor's degree or actuarial track

Tools

SQL

Job description

Position Purpose: Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.

Key Details: Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.

In this Sr. Actuarial Analyst role, you will:

• Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.
• Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.
• Develop and run data reports to identify emerging trends and gaps.
• Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.
• Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.
• Perform other duties as assigned.

Education/Experience:

Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.

License/Certification: Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.

Pay Range: $70,100.00 - $126,200.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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