Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.
Key Details: This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, versátil assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.
Connect eligibility,
revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.
Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.
Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.
Build actuarial models with clear, flexible assumption inputs and summarized outputs.
Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.
Assist with developing probability tables based on analysis of statistical data and other pertinent information.
Analyze and evaluate required premium rates.
Assess cash reserves and liabilities to enable payment of future benefits.
Develop and run data reports.