Associate Actuary - Medicaid

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.
 

NOTE:  Candidates for this Associate Actuary role must have an ASA designation, a bachelor's degree, and a minimum of two years of actuarial experience to be eligible.

Position Purpose: This Associate Actuary position will provide cross-market cross-functional actuarial support for all Centene Medicaid markets. Conduct analysis, pricing and risk assessment to estimate financial outcomes.

This Associate Actuary will extract, transform analyze, aggregate, review, interpret data to support development of Medicaid health insurance models.

The position requires applying technical skills to complex analyses, strong interest in Medicaid market dynamics, good communication and interpersonal skills, and organizational talents. Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure codes, pharmacy terminology, etc.).

In this Associate Actuary position, you will:   

• Understand different Medicaid markets and how organization capabilities interrelate across the function or segment.
• Analyze different data sources to determine value and make recommendations
• Incorporate core data management competencies including Data Governance, Data Security and Data Quality
• Perform assessments on data assets and suggest resolutions of moderate complexity
• Prepare information for actuarial and non-actuarial audiences through building reports and delivering summary of results
• Collaborate and communicate effectively with broader actuarial and healthcare analytics team, while supporting ad-hoc analytics where needed
• Maintain high quality documentation of data definitions, transformations, and processes to ensure data governance and security
• Develop and run data reports
• 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
• Develop and train junior staff

Education/Experience:  Bachelor’s degree in related field or equivalent experience. 2+ years of actuarial experience.

License/Certification: Associate of the Society of Actuaries (ASA) (or equivalent international certification)

The preferred candidate will have:

• Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure codes, pharmacy terminology, etc.).
• Expertise in Excel, SQL/SAS, R, Python, and model building.
• Knowledge or eagerness to learn Medicaid rules and policies.
• Ability to develop and train junior staff.
• Active pursuit of an FSA actuarial designation.

Candidates must possess a minimum of an ASA designation, a bachelor's degree, and at least two years of actuarial experience to be eligible for this position.

*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.*

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