Actuary - VBC / Vendor Analytics

Centene • Arlington, TX

231d

About The Position

Centene is seeking a highly motivated, experienced, and independent Actuary to join our dynamic Vendor Analytics team. This critical role focuses on the financial engineering, analysis, and negotiation of Value-Based Care (VBC) arrangements with external vendors across our Medicare, Medicaid, and ACA lines of business. In this Actuary role, you will apply knowledge of mathematics, probability, statistics, principles of finance and business to design, model, financially engineer, and evaluate complex Value-Based Care (VBC) financial arrangements and associated vendor contracts. You will lead the development of sophisticated financial models to assess financial risk and opportunity associated with proposed and existing VBC arrangements (e.g., shared savings/risk, capitation, bundled payments, specialty carve-outs). Additionally, you will provide robust analytical support and subject matter expertise during negotiations with external vendors, defend analytical methodologies, and clearly articulate the company's financial positions related to VBC arrangements. Collaboration with internal matrix partners (including, but not limited to, Medical Economics, Enterprise Partnerships, Network Management, Clinical Operations, Finance, and Data Analytics teams) is essential to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals.

Requirements

• Bachelor's degree or in related field or equivalent experience.
• 5+ years of actuarial experience.
• Associate of the Society of Actuaries (ASA) or equivalent international certification.
• Member of American Academy of Actuaries or equivalent international membership.

Nice To Haves

• Minimum of 5+ years of experience in healthcare analytics, actuarial science, or data science within a health plan, managed care organization, provider system, or consulting firm.
• Strong preference for hands-on experience in Value-Based Care (VBC) contract modeling, financial engineering, and analysis within a payer environment.
• Familiarity with Medicare, Medicaid, and ACA programs within managed care settings.
• Advanced Excel modeling, strong SQL skills, and a solid understanding of healthcare data structures.
• Experience with data visualization tools (e.g., Tableau, Power BI) and statistical programming languages such as R or Python.
• Deep understanding of various VBC models including baseline setting, risk adjustment, performance metrics, and reconciliation logic.
• Proven ability to negotiate complex financial and analytical terms externally and communicate sophisticated concepts clearly to both technical and non-technical audiences.

Responsibilities

• Apply knowledge of mathematics, probability, statistics, principles of finance and business to design, model, financially engineer, and evaluate complex Value-Based Care (VBC) financial arrangements and associated vendor contracts.
• Lead the development of sophisticated financial models to assess financial risk and opportunity associated with proposed and existing VBC arrangements.
• Provide robust analytical support and subject matter expertise during negotiations with external vendors.
• Collaborate effectively with internal matrix partners to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree