Sr. Actuarial Analyst - Risk Adjustment

Centene Corporation•Washington, NV

3d•$70,100 - $126,200•Remote

About The Position

Centene is seeking a Sr. Actuarial Analyst to join their Risk Adjustment Actuarial Services team. This role is crucial for supporting risk adjustment programs by ensuring accurate capture, validation, and reporting of member health conditions. The analyst will partner with clinical, operational, and coding teams to enhance documentation accuracy and maintain regulatory compliance. Centene offers a comprehensive actuarial development program with exam support, mentorship, and continuous learning opportunities within a collaborative and supportive team environment.

Requirements

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Bachelor’s degree in related field or equivalent experience.
Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.

Nice To Haves

Experience in healthcare: Medicare Advantage (MA), ACA, or Risk Adjustment
Advanced Excel skills: Pivot Tables, Power BI, Excel queries.
Coding Experience: SQL (Preferred), SAS, R, etc.

Responsibilities

Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
Assist with developing analysis of statistical data and other pertinent information
Analyze and evaluate required premium rates
Assess cash reserves and liabilities enable payment of future benefits
Develop and run data reports
Assist with determining the equitable basis for distributing money for insurance benefits
Performs other duties as assigned
Complies with all policies and standards