Centene Corporation Hiring for Senior Director, Actuarial Services (Medicaid) – remote at Lincoln, Nebraska Full Time

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

• This Senior Director, Actuarial Services role is Medicaid focused and will lead the Medicaid Actuarial Redetermination efforts. Coordinating across the Medicaid Actuarial team, the finance team, Healthcare Analytics. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company’s health plan businesses. Communicate results to senior leaders.

In this Senior Director, Actuarial Services role, you will:

• Lead the Medicaid Actuarial Redetermination efforts. Coordinating across the Medicaid Actuarial team, the finance team, Healthcare Analytics.

• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.

• Oversee the negotiation of capitation rates with State agencies

• Ensure high level of health plan experience and identify trends to increase effectiveness

• Analyze new business opportunities and recommend action plans

• Work with Health Plans to ensure soundness of capitation rates

• Work with Health Plans on annual budget process

• Work with State agencies to focus on areas to improve Medicaid programs and present results to Senior Management and State agencies

• Educate Senior Management on changes in Medicaid Capitation Rate development

• Participate in an American Academy of Actuaries Committee

Medicaid experience is highly preferred.

Important Note: This position is fully remote. However, due to the needs of the business, candidate must be available to work the following time zone: Central Standard Time (CST).

Education/Experience:

• Bachelor’s degree in a related field or equivalent experience.

• 10+ years of actuarial experience, including 2+ years of applicable product experience preferred.

• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required.

• Medicaid experience highly preferred.

Licenses/Certifications:

• Fellow (FSA) or Associate (ASA) of the Society of Actuaries (or equivalent international certification). Member of American Academy of Actuaries (or equivalent international membership)

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

TITLE: Senior Director, Actuarial Services (Medicaid) – remote

LOCATION: Various, Nebraska

REQNUMBER: 1402104