Sr. Mgr., Actuarial Services - Medicare

Centene Corporation; Las Vegas (NV); À distance; USD 135 000 - 249 000; Plein temps

Résumé du poste

Centene Corporation is seeking an experienced actuary to lead strategic Medicare initiatives and develop robust analytical tools. You will drive pricing, risk assessment, and financial outcomes across programs, mentoring 2–4 direct reports and collaborating across Health Plans, Finance, and Accounting teams.

Ideal candidates bring 6+ years of actuarial experience, ASA or FSA designation, and strong healthcare/Medicare Advantage knowledge, with advanced Excel, SQL, SAS and AI tooling skills to

Qualifications

• 6+ years actuarial experience in healthcare or Medicare Advantage.
• ASA or FSA designation required; MAAA preferred.
• Strategic mindset with ability to lead 2–4 direct reports.
• Strong technical skills: Excel, SQL, SAS; AI tooling experience a plus.

Responsabilités

• Contribute to Medicare strategic initiatives and planning.
• Own tools and processes; support internal users' needs.
• Review and certify MA bids when eligible.
• Train direct reports in technical skills and Medicare knowledge.
• Develop, assess, and negotiate capitation or premium rates.
• Present results to internal partners and develop actionable recommendations.
• Lead cross-functional teams to address key issues.

Connaissances

Actuarial expertise

Leadership

Strategic analysis

Advanced Excel

SQL

SAS

AI tools for actuarial analysis

Formation

Bachelor's Degree or equivalent

ASA or FSA designation

MAAA preferred

Outils

SAS

SQL

Excel (Advanced)

AI tools

Description du poste

Position Purpose:

Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.

Key Details:

Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).

Responsibilities:

• Contribute to and support Medicare strategic initiatives and planning
• Own tools and/or processes, supporting related internal users' needs
• If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)
• Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries
• Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes
• Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies
• Oversee health plan experience, identify trends, and recommend improvements
• Research and identify new business opportunities
• Research and analyze the impact from legislative changes
• Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)
• Develop actionable recommendations to management relative to analysis
• Lead cross-functional teams to address key issues facing the organization
• Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards

Education/Experience:

Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.

Licenses/Certifications:

Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.

Pay Range:

$134,600.00 - $249,000.00 per year

About Centene:

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