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Centene

Runs government-backed health insurance plans

Associate Actuary - Medicare Forecasting

Actuarial & Risk ModellingPosted on Nov 9
Full-timeRemote in USA$87.7k - $157.8k /yr

About the Job

Requirements

  • A bachelor's degree in a related field or equivalent experience is required.
  • At least 2 years of actuarial experience is required.
  • An Associate of the Society of Actuaries (ASA) designation or equivalent international certification is required.
  • Advanced Excel skills and basic SQL/query knowledge are required.

Responsibilities

  • Conduct actuarial analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance.
  • Support quarterly forecasting, Medicare bid target setting, and business decisions affecting Medicare benefit offerings and financial performance.
  • Analyze and evaluate business risks and opportunities.
  • Analyze data reports, identify trends and gaps, and recommend actions.
  • Apply mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.
  • Develop probability tables based on statistical data and other relevant information.
  • Research and analyze the impact of legislative changes.
  • Determine equitable methods for distributing funds for insurance benefits.
  • Create and update actuarial reports.
  • Participate in merger and acquisition analyses.
  • Certify annual Medicare bids.

Desired Qualifications

  • Three or more years of experience with a strong focus on analytics is highly preferred.
  • Medicare Advantage experience is a strong plus, particularly financial forecasting, financial performance analysis, cost trend analysis, and Medicare bid development or support.
  • MAAA designation or eligibility for Medicare bid certification is preferred.
  • AI/Copilot experience is a plus.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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