Manager, Actuarial Services

Centene Corporation•Remote-IL, IL

3d•$134,600 - $249,000•Remote

About The Position

Centene is transforming the health of its communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This role involves conducting analysis, pricing, and risk assessment to estimate financial outcomes and provide expertise and technical support in matters related to the successful and financially sound operations of the company's health plan businesses. As a critical leader on the team, you'll shape Value-Based Care (VBC) strategies, vendor arrangements, and contract design that drive significant financial value across multiple lines of business. You will lead a small team while enjoying diverse, high-visibility work, broad organizational exposure, and minimal repetitive tasks.

Requirements

ASA or FSA designation
Bachelor's degree or higher
At least 5 years of actuarial experience
Bachelor's Degree or equivalent experience required
5+ years of actuarial, mathematical, statistical, scientific, financial analysis, reporting, data analytics, accounting, and/or underwriting experience
Fellow or Associate of the Society of Actuaries (or equivalent international certification) required
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.

Nice To Haves

Previous management experience preferred
Member of American Academy of Actuaries preferred
Experience with Vendors and vendor arrangements
Experience with Excel, SQL, Teradata, Snowflake and/or SAS
Experience working with claims and revenue data and analyzing trend

Responsibilities

Conduct analysis, pricing and risk assessment to estimate financial outcomes.
Provide expertise and technical support in matters related to the successful and financially sounds operations of the company's health plan businesses.
Shape Value-Based Care (VBC) strategies, vendor arrangements, and contract design that drive significant financial value across multiple lines of business.
Lead a small team.
Collaborate effectively with internal matrix partners to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals.
Research and identify new business opportunities.
Work with Medicare/marketplace and Medicaid teams to assess impact of program/policy changes on trends and vendor contracts.
Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.
Oversee health plan experience, identify trends and recommend improvements.
Performs other duties as assigned.
Complies with all policies and standards.
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).
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.