Actuary – Value-Based Care

Centene Corporation

. Conduct analysis, pricing, and risk assessment to estimate financial outcomes .

Posted 11/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $107,700 - $199,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial modeling for value-based care arrangements, including shared savings and risk assessments. Proficient in analyzing healthcare claims data and vendor performance to drive strategic decisions and ensure actuarial soundness.

Highest-signal resume keywords

Actuarial ExperienceFinancial ModelingExcelSQLAssociate In Society Of Actuaries (ASA)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial AnalysisRisk AssessmentTrend AnalysisMathematicsProbabilityStatisticsFinance PrinciplesBusiness Principles

Soft Skills

CommunicationCollaborationProblem-Solving

Tools & Technologies

TeradataSnowflake

Certifications & Qualifications

Associate In Society Of Actuaries (ASA)Fellowship In Society Of Actuaries (FSA)

Industry Keywords

Value-Based CareVendor ContractsHealthcare ClaimsShared SavingsCapitationBundled PaymentsMedicareMedicaid

Tech Stack

Tools & technologies

SnowflakeSQL

About the role

Key responsibilities & impact

Conduct analysis, pricing, and risk assessment to estimate financial outcomes
Support the Vendor Analytics Team in ensuring VBC contracts are actuarially sound and provide financial value
Develop financial models for value-based care arrangements, including shared savings/risk, capitation, bundled payments, and specialty carve-outs
Analyze claims and vendor performance data to establish baselines, measure performance, and identify trends
Provide analytical support and subject matter expertise during external vendor negotiations
Communicate complex findings and recommendations to technical and non-technical audiences, including leadership
Collaborate with internal teams to gather input, align on strategy, and ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals
Identify issues in vendor contracts and performance, develop analytical approaches, and drive solutions
Work with Medicare/Marketplace and Medicaid teams to assess the impact of program and policy changes on trends and vendor contracts
Research and identify new business opportunities
Apply mathematics, probability, statistics, finance, and business principles to calculate financial outcomes
Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need

Bachelor's Degree in related field or equivalent experience required
5+ years of actuarial experience with ASA designation, or 4+ years with FSA designation
Associate in Society of Actuaries (ASA) certification required
Member of the American Academy of Actuaries (MAAA) preferred
Experience in vendor arrangements, healthcare claims and revenue data, and trend analysis
Preferred technical skills include Excel, SQL, Teradata, and Snowflake
Knowledge of mathematics, probability, statistics, principles of finance, and business
Fully remote within the continental U.S.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Benefits

Comp & perks

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity