Actuary – Value-Based Care

Position Purpose: 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.

Key Details: 5+ years of actuarial experience with ASA designation, or 4+ years with FSA designation. Member of the American Academy of Actuaries (MAAA) preferred. Ideal candidates will be strategic thinkers with experience in vendor arrangements, healthcare claims and revenue data, and trend analysis. This role will develop financial models for VBC arrangements, analyze savings opportunities and program/vendor value, provide analytical support during external vendor negotiations, and partner with Medicare/Marketplace and Medicaid teams. This high-visibility role offers varied work across lines of business, new analytical challenges, and opportunities to present work to leadership. Preferred technical skills include Excel, SQL, Teradata, and Snowflake. Fully remote within the continental U.S.

• Lead the development of financial models to assess financial risk and opportunity associated with proposed and existing value-based care (VBC) 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 negotiations with external vendors, including financial terms, risk structures, and analytical methodologies
• 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
• Independently 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 knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes
• Perform other duties as assigned and comply with all policies and standards

Education/Experience: Bachelor's Degree in related field or equivalent experience required. 5+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification required or 4+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required.

Licenses/Certifications: Associate of the Society of Actuaries (ASA) required and Member of the American Academy of Actuaries preferred.

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.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Originally posted on Himalayas