Senior Actuarial Analyst - Medicare
About the role
Position Purpose: Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance. Key Details: Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus. At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Responsibilities
- Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.
- Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.
- Develop and run data reports to identify emerging trends and gaps.
- Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.
- Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.
- Perform other duties as assigned.