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About the Role
Assist in financial analysis, pricing, and risk assessment to estimate outcomes on the Risk Adjustment Actuarial Services team. This role supports risk adjustment programs by ensuring accurate capture, validation, and reporting of member health conditions, partnering with clinical, operational, and coding teams to improve documentation accuracy and maintain compliance.
Responsibilities
- Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
- Develop analysis of statistical data and other pertinent information
- Analyze and evaluate required premium rates
- Assess cash reserves and liabilities to enable payment of future benefits
- Develop and run data reports
- Determine the equitable basis for distributing money for insurance benefits
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
- 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.
Skills
- Medicare Advantage (MA), ACA, or Risk Adjustment experience
- Advanced Excel skills: Pivot Tables, Power BI, Excel queries
- SQL (Preferred)
- SAS
- R
Location
- Remote from home anywhere within the continental United States
Work Type
- Remote
- Full-time
Experience Level
- Senior
Education Level
- Bachelor’s degree in related field or equivalent experience
Salary/Compensations
- $70,100.00 - $126,200.00 per year
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
- Comprehensive benefits package
About the Company
- 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.
- Our actuarial development program is designed to support your success through comprehensive exam support, mentorship, and continuous learning opportunities.
- You'll join a collaborative and supportive team that values knowledge sharing, celebrates exam progress, and is invested in helping actuaries grow and succeed throughout their careers.
Equal Opportunity
- 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