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Senior Actuarial Analyst – Risk Adjustment
Centene Corporation. Support risk adjustment initiatives through data analysis, modeling, actuarial reporting, and data validation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in data analysis, risk adjustment modeling, and actuarial reporting, with a strong foundation in mathematics, probability, and statistics. Proficient in SQL and data validation, with the ability to communicate insights effectively to support business decisions.
Highest-signal resume keywords
Actuarial ExperienceSQL ProficiencyData Validation SkillsRisk Adjustment ModelsStatistical Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisFinancial AnalysisActuarial ReportingData ValidationStatistical ModelingProbability Tables DevelopmentData ReportingRisk AssessmentData ManipulationQuality Assurance
Soft Skills
Communication SkillsProblem-Solving
Tools & Technologies
SASSnowflakeCDPS+RxProcess Automation
Certifications & Qualifications
Actuarial Credential Progress
Industry Keywords
Healthcare DataRisk AdjustmentMarket-Level AnalysisFinancial OutcomesData CompletenessData Accuracy
Tech Stack
Tools & technologiesSnowflakeSQL
About the role
Key responsibilities & impact- Support risk adjustment initiatives through data analysis, modeling, actuarial reporting, and data validation
- Assist with financial analysis, data validation, and risk assessment to estimate outcomes
- Support data submissions, rate reconciliation, audits, and chart chase programs
- Focus on data completeness and accuracy
- Run and analyze market-level results using CDPS+Rx or similar risk adjustment models
- Act as the team’s point of contact for an assigned group of markets
- Apply mathematics, probability, statistics, finance, and business knowledge to calculate financial outcomes
- Assist with developing probability tables based on statistical data and other pertinent information
- Analyze and evaluate required premium rates
- Develop and run data reports
- Identify data issues and uncover meaningful insights
- Communicate findings to support business decisions
- Perform other duties as assigned and comply with all policies and standards
Requirements
What you’ll need- Bachelor's degree in a related field or equivalent experience
- Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5)
- Actuarial experience
- Demonstrated progress toward an actuarial credential through successful completion of actuarial exams
- Experience with data validation, manipulation, and quality assurance preferred
- Strong SQL, coding, and data analytics skills working with large datasets
- Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation highly desirable
- Knowledge of mathematics, probability, statistics, finance, and business
- Fully remote within the continental U.S.; ET and CT time zones preferred
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Exam support
- Professional development opportunities