Sr. Mgr., Actuarial Services - Medicare

Centene Corp.; Northern (KY); Hybrid; USD 135,000 - 249,000; Full time

Job summary

Centene Corp. is seeking a Senior Manager, Actuarial Services for Medicare initiatives. This remote role within the Continental United States leads actuarial analyses, builds tools, and supports planning and pricing decisions across health plans.

The candidate must have 6+ years of actuarial experience, ASA/FSA designation, and strong skills in Excel, SQL, SAS, and AI-assisted analysis. Leadership of 2–4 direct reports and cross-functional collaboration are required.

Qualifications

• 6+ years of actuarial experience required.
• ASA or FSA designation required; MAAA highly preferred.
• Experience with Medicare Advantage pricing, bid development and actuarial tool development.

Responsibilities

• Contribute to Medicare strategic initiatives and planning.
• Own tools and processes to support internal users’ needs.
• Train and develop direct report(s) in actuarial skills and Medicare program basics.
• Present results (pricing, risks, opportunities) to internal partners.
• Lead cross-functional teams to address key organizational issues.

Skills

Actuarial analysis

Strategic thinking

Leadership

Communication

Education

Bachelor’s degree or equivalent experience

Tools

Excel (Advanced)

SQL

SAS

AI tools

Job description

## Sr. Mgr., Actuarial Services - MedicareApply: Remote-MN: Remote-TN: Remote-NE: Remote-KS: Remote-AZ: Full time: Posted Today: 1658008**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