Senior Actuarial Analyst - Medicare

Centene Management Company LLC; Illinois; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible remote/Hybrid/office options

Job summary

Centene Management Company LLC seeks an actuarial analyst to support Medicare Advantage financial forecasting and risk assessment. This fully remote role within the Continental U.S. focuses on developing quarterly forecasts, analyzing FFS costs, and contributing to savings initiatives.

The ideal candidate has actuarial experience, progress toward an actuarial credential, and strong Excel and data-analytics skills; basic SQL knowledge and familiarity with AI tools are a plus.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• Rule of 5: 5+ years actuarial experience or exams combo.
• Strong Excel and data analytics required.
• Experience with Medicare Advantage forecasting is a plus.

Responsibilities

• Apply math, probability, statistics to analyze Medicare FFS costs and risk.
• Develop and maintain quarterly forecasts for Medicare FFS costs and provider risk-sharing.
• Develop and run data reports to identify trends and gaps.
• Prepare financial exhibits and communicate findings to audiences.
• Collaborate with internal partners to support forecasting and reporting.
• Perform other duties as assigned.

Skills

Excel

SQL

Data analytics

Actuarial experience

Forecasting

Education

Bachelor's degree

Tools

Copilot AI

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.

Responsibilities

• 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

Company Overview

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.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

Equal Opportunity & EEO

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.

Additional Information

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.