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Role Summary

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HIGHLIGHTS

Senior actuarial role in Centene's Risk Adjustment team, focusing on financial analysis, pricing, and risk assessment for health insurance programs. You'll support risk adjustment programs by ensuring accurate capture and reporting of member health conditions, partnering with clinical and operational teams. This remote role offers comprehensive exam support and mentorship. Ideal for candidates with a combination of actuarial experience and exams, and healthcare experience in Medicare Advantage or ACA.

JOB DESCRIPTION SUMMARY

  • Support risk adjustment programs for Medicare Advantage and ACA
  • Analyze premium rates, cash reserves, and liabilities
  • Partner with clinical, operational, and coding teams
  • Develop data reports and statistical analysis
  • Remote role with comprehensive exam support

DOMAIN EXPERTISE

  • Healthcare experience in Medicare Advantage, ACA, or Risk Adjustment

KEY REQUIREMENTS

  • Bachelor's degree or equivalent experience
  • Combination of experience and exams totals 5 or more (Rule of 5)
  • Advanced Excel skills (Pivot Tables, Power BI)
  • SQL, SAS, or R experience preferred
  • Must be authorized to work in the US without sponsorship

TECH STACK

  • Excel
  • Power_BI
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Role Summary

Loading...

HIGHLIGHTS

Senior actuarial role in Centene's Risk Adjustment team, focusing on financial analysis, pricing, and risk assessment for health insurance programs. You'll support risk adjustment programs by ensuring accurate capture and reporting of member health conditions, partnering with clinical and operational teams. This remote role offers comprehensive exam support and mentorship. Ideal for candidates with a combination of actuarial experience and exams, and healthcare experience in Medicare Advantage or ACA.

JOB DESCRIPTION SUMMARY

  • Support risk adjustment programs for Medicare Advantage and ACA
  • Analyze premium rates, cash reserves, and liabilities
  • Partner with clinical, operational, and coding teams
  • Develop data reports and statistical analysis
  • Remote role with comprehensive exam support

DOMAIN EXPERTISE

  • Healthcare experience in Medicare Advantage, ACA, or Risk Adjustment

KEY REQUIREMENTS

  • Bachelor's degree or equivalent experience
  • Combination of experience and exams totals 5 or more (Rule of 5)
  • Advanced Excel skills (Pivot Tables, Power BI)
  • SQL, SAS, or R experience preferred
  • Must be authorized to work in the US without sponsorship

TECH STACK

  • Excel
  • Power_BI

Job Overview

Salary
$70k - $126k
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior actuarial analyst with a combination of experience and exams totaling 5+, healthcare experience in Medicare Advantage or ACA, strong Excel and SQL skills, and interest in risk adjustment and regulatory compliance.

Benefits

Health Insurance401(k) PlanTuition ReimbursementRemote FirstStudy SupportExam Fees CoveredMentorship ProgramFlexible HoursPaid Time Off
Active Screening
Standard Review
10d
10 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$70k - $126k
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior actuarial analyst with a combination of experience and exams totaling 5+, healthcare experience in Medicare Advantage or ACA, strong Excel and SQL skills, and interest in risk adjustment and regulatory compliance.

Benefits

Health Insurance401(k) PlanTuition ReimbursementRemote FirstStudy SupportExam Fees CoveredMentorship ProgramFlexible HoursPaid Time Off
Active Screening
Standard Review
10d
10 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Sr. Actuarial Analyst - Risk Adjustment

Centene Corporation

Health/Insurer/IC Level
Centene Corporation

Sr. Actuarial Analyst - Risk Adjustment

Centene Corporation

Connecticut · Remote · 1w ago

Medicare AdvantageACA Exchange

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