Senior Actuarial Analyst - ACA Pricing

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our 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.
 

Position Purpose:  

Provide support in the financial modeling and analysis of value-based contracts to support our Coordinated Care health plan.

• Coordinated Care in 1 of the 5 MCOs in WA.  Our health plan strives to partner with providers to provide quality care to our members. The data analytics team support our initiatives with the providers to achieve our mission. Internally we work with different teams to fulfill their analytics needs.

In this Senior Actuarial Analyst role, you will:

• Help design and implement tools to evaluate VBC programs and contracts.
• Model financial outcomes, drivers of VBC contract performance, and identify risks.
• Develop reports and perform financial reconciliations with providers and State regulatory agencies.
• Collaborate with internal and external stakeholders to support implementation of VBC contracts.
• Manage data requirements, evaluate appropriateness of data, problem solve any issues with internal and external data.
• Increase efficiency through process improvement.
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
• Performs other duties as assigned
• Complies with all policies and standards

Why is this role appealing:

• Exposure to value-based contract financial modeling
• The candidate will have the opportunity to work across and learn from other departments such as finance and network which will increase an actuary’s skillset.
• Good blend of work: projects are technical but grounded in real-world problems with tangible impacts
• Competitive Actuarial Student Program
• All the benefits of a large company, combined with the agility and opportunity of a small department and team

Highly preferred:

• Prefer at least 2+ years of ACA pricing related experience, including rate filing submissions, or an equivalent background in pricing/rate setting for health insurance products
• Strong financial acumen, with a solid grasp of financial and actuarial principles within a health context
• Excel, R/R-Studio, SQL
• Experience with Medicaid and / or provider contracting is preferred but not required
• Data extraction and manipulation with SQL (We will be transitioning to the Snowflake platform next year so exposure with Snowflake is a huge plus)
• Microsoft Office, namely Excel, VBA, and Access; experience with financial modeling in Excel
• Power BI experience is preferred but not a requirement

Required Education/Experience: 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.

License/Certification:  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.

This Sr. Actuarial Analyst position is ideal for those who have some actuarial experience & SOA exams (required), and who are not yet credentialed with their ASA. If you have your ASA/FSA, please review our Associate Actuary or Actuary titled job openings.

*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. However, due to the needs of the business, ideal schedule is 8 am - 5 pm PST / Pacific Standard Time Zone*

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.  Total compensation may also include additional forms of incentives.

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