Position Purpose

Conduct analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation initiatives.

Key Details

Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The adecuado candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis.



Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.

In This Senior Actuary Role, You Will
- Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models
- Act as the team’s point of contact for an assigned group of markets
- Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
- Develop probability tables based on analysis of statistical data and other pertinent information
- Determine equitable basis for distributing money for insurance benefits
- Perform other duties as assigned and comply with all company policies and stan

📌 Senior Actuary (Valparaíso)
🏢 Centene
📍 Valparaíso