Sr. Mgr., Actuarial Services - Medicare

Centene Management Company LLC; Minnesota; Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote work within continental US

Job summary

Centene is seeking a Senior Manager, Actuarial Services to lead strategic Medicare initiatives and build analytical tools for planning, pricing, and risk assessment. You will own key tools, mentor 2–4 direct reports, and collaborate with Health Plans, Finance, and Accounting.

Ideal candidates bring 6+ years of actuarial experience, an ASA or FSA designation (MAAA preferred), and strong healthcare actuarial expertise. The role is fully remote within the continental US, ET/CT preferred.

Qualifications

• 6+ years of actuarial experience required.
• ASA or FSA designation required; MAAA preferred.
• Healthcare and Medicare Advantage actuarial experience, including cost trend analysis and bid development.
• Advanced Excel (arrays, PivotTables, VBA), SQL, SAS and AI-enabled analysis skills.

Responsibilities

• Contribute to Medicare strategic initiatives and planning.
• Own tools and processes, supporting internal users’ needs.
• Review and certify MA bids if eligible for AAAS membership.
• Train and develop direct report(s) in technical skills and Medicare knowledge.
• Apply mathematics, probability, statistics, and finance to calculate financial outcomes.
• Develop, assess, and negotiate capitation or premium rates with agencies.
• Oversee health plan experience, identify trends, and suggest improvements.
• Research new business opportunities and analyze impacts of legislation.
• Present results to internal partners and develop actionable recommendations.
• Lead cross-functional teams to address key organizational issues.
• Suggest policy and procedural changes and ensure compliance.

Skills

Actuarial experience

Leadership

Strategic thinking

Healthcare analytics

Education

Bachelor's Degree

Tools

Excel

SQL

SAS

AI tools

Job description

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).

In this Senior Manager, Actuarial Services role, you will:

• 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

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.

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

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.