Sr. Mgr., Actuarial Services - Medicare

Centene Corporation; United States; Remote; USD 135,000 - 249,000; Full time

Benefits offered by this job

Remote work options

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation is seeking a Senior Manager, Actuarial Services to lead strategic Medicare initiatives and develop robust pricing tools. The role requires 6+ years actuarial experience with ASA/FSA and strong Excel/SQL/SAS skills.

You will mentor direct reports and present pricing insights to stakeholders, while guiding rate development with public and private agencies. The position offers remote work within the Continental United States and reports to senior leadership.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 6+ years actuarial experience with ASA/FSA preferred.
• Healthcare and Medicare Advantage actuarial background is a plus.
• Strong technical skills in Excel, SQL, SAS; experience with AI tools is desirable.

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 direct reports and develop them as actuaries.
• Apply mathematics and finance to calculate financial outcomes.
• Develop and negotiate capitation or premium rates with agencies.
• Oversee health plan experience and identify trends for improvements.
• Lead cross-functional teams to address key issues.
• Present results to internal partners and develop actionable recommendations.

Skills

Advanced Excel

SQL

SAS

AI tools

Education

Bachelor’s degree or equivalent experience

6+ years actuarial experience

Tools

Excel

SQL

SAS

AI tooling

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.

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