Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
Senior Actuarial Analyst - Marketplace
February 14
🌵 Arizona – Remote
🌪️ Kansas – Remote
+3 more states
💵 $68.7k - $123.7k / year
⏰ Full Time
🟠 Senior
📊 Actuary
Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
📋 Description
• Assist in pricing, financial analysis, and risk assessment to estimate outcomes for Individual commercial (ACA) products. • Support health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy. • Collaborate with actuaries and non-actuaries to assist with achieving well-rounded healthcare products. • Develop, analyze, and support optimizing pricing strategies for ACA Marketplace plans. • Review key pricing inputs and assumptions, including experience, reimbursement, and morbidity analyses. • Lead the rate filing process in at least one state/market, including preparing rate filings and effective communication with federal and state regulators. • Serve as the main point of contact for all actuarial related activities for an assigned health plan. • Research and analyze the impact of various federal and state legislative/regulatory changes. • Performs other duties as assigned. • Complies with all policies and standards.
🎯 Requirements
• 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). • Highly preferred skills: ACA pricing related experience, including rate filing submissions, or an equivalent background in pricing/rate setting for health insurance products. • Excel, R/R-Studio, SQL • Strong financial acumen, with a solid grasp of financial and actuarial principles within a health context. • Strong attention to detail and written and verbal communication skills, with a proven record of being able to communicate complex actuarial concepts to a variety of audiences.
🏖️ 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
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