Sr. Actuarial Analyst - Risk Adjustment

Centene
Illinois
Workplace: RemoteFull timeUSD 70,100 - 126,200 annuallyFunction: Insurance & ActuarialEducation: bachelorsSkills: []

Support Centene’s Risk Adjustment Actuarial Services by analyzing member health conditions, premium rate needs, and financial outcomes. Partner with clinical, operational, and coding teams to improve documentation accuracy and maintain compliance with regulatory requirements. Develop and run data reports, assess cash reserves and liabilities, and support equitable distribution of insurance benefits. Work within a structured actuarial development program with exam support and mentorship.

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Centene
Centene
1 day ago

Sr. Actuarial Analyst - Risk Adjustment

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Source: Company careers pageValidated by: Fursa AI
Last checked: 10 hours agoStatus: Live

Job Summary

Support Centene’s Risk Adjustment Actuarial Services by analyzing member health conditions, premium rate needs, and financial outcomes. Partner with clinical, operational, and coding teams to improve documentation accuracy and maintain compliance with regulatory requirements. Develop and run data reports, assess cash reserves and liabilities, and support equitable distribution of insurance benefits. Work within a structured actuarial development program with exam support and mentorship.
Location: Illinois
Workplace: Remote
Employment Type: Full time
Job Function: Insurance & Actuarial
Seniority: Mid level

Key Responsibilities

  • •Calculate financial outcomes using mathematics, probability, statistics, and finance principles.
  • •Develop statistical analysis to support risk adjustment programs.
  • •Analyze and evaluate required premium rates.
  • •Assess cash reserves and liabilities to enable payment of future benefits.
  • •Develop and run data reports and support equitable distribution of insurance benefits.

Pay and Benefits

Salary: USD 70,100 - 126,200 annually
Perks:Health Insurance401kEquityPaid Leave

Key Requirements

  • •Bachelor’s degree in a related field or equivalent experience.
  • •Combination of years of experience and actuarial exams passed equals or exceeds 5 (Rule of 5).
  • •Experience in healthcare: Medicare Advantage (MA), ACA, or Risk Adjustment.
  • •Advanced Excel skills, including Pivot Tables, Power BI, and Excel queries.
  • •Coding experience with SQL (preferred), plus SAS or R (or similar).
Experience:HealthcareMedicare AdvantageACARisk Adjustment
Education:Bachelor's
Tech Stack:ExcelPivot TablesPower BISQLSASR

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn