Centene Corporation · 17 hours ago
Associate Actuary - Medicaid
Centene Corporation is transforming the health of communities across the nation, seeking an Associate Actuary to provide actuarial support for its Medicaid markets. This role involves conducting analysis, pricing, and risk assessment while managing health plan-specific actuarial needs and developing Medicaid health insurance models.
Hospital & Health Care
Responsibilities
Serve as the main point of contact for all actuarial related activities for an assigned health plan
Manage at least 1 health plan
Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
Research and analyze the impact from legislative changes
Analyze and evaluate required premium rates
Assess cash reserves and liabilities enable payment of future benefits
Determine the equitable basis for distributing money for insurance benefits
Understand different Medicaid markets and how organizational 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 by building reports and delivering summaries of results
Collaborate and communicate effectively with the broader actuarial and healthcare analytics team while supporting ad‑hoc analytics as needed
Maintain high‑quality documentation of data definitions, transformations, and processes to ensure data governance and security
Develop and train junior staff
Actively pursue FSA actuarial designation
Qualification
Required
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
2+ years of actuarial experience
Associate of the Society of Actuaries (ASA) (or equivalent international certification)
Strong interest in Medicaid market dynamics
Good communication and interpersonal skills
Organizational talents
Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure codes, pharmacy terminology, etc.)
Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
Research and analyze the impact from legislative changes
Analyze and evaluate required premium rates
Assess cash reserves and liabilities enable payment of future benefits
Determine the equitable basis for distributing money for insurance benefits
Understand different Medicaid markets and how organizational 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 by building reports and delivering summaries of results
Collaborate and communicate effectively with the broader actuarial and healthcare analytics team while supporting ad‑hoc analytics as needed
Maintain high‑quality documentation of data definitions, transformations, and processes to ensure data governance and security
Develop and train junior staff
Actively pursue FSA actuarial designation
Preferred
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
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Company
Centene Corporation
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
Funding
Current Stage
Late StageLeadership Team
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
Company data provided by crunchbase