Actuary Manager - ACA Pricing

You could be the one who changes everything for our 28 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.
 

NOTE: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Centene is seeking a Manager, Actuarial Services to lead pricing assumption development and review for ACA Individual Market off-exchange products designed for Individual Coverage Health Reimbursement Arrangement (ICHRA).

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sounds operations of the company's health plan businesses. Experience in health actuarial pricing will be highly preferred.

Why this role is appealing

• This role is critical to ensuring timely and accurate pricing recommendations that support Centene’s strategic growth initiatives in the ICHRA market.
• You will collaborate with stakeholders across Actuarial, Product, Network, Regulatory Operations, and Finance teams, and present actuarial pricing recommendations to leadership.
• This position includes people leadership responsibilities with one direct report.

In this Manager, Actuarial Services role, you will

• Develop and review actuarial pricing assumptions for off-exchange products designed for ICHRA.
• Partner with cross-functional teams to ensure accurate and timely actuarial pricing.
• Make actuarial pricing recommendations and build consensus with leadership.
• Provide managerial oversight and mentorship to team members.
• Support Centene’s strategic goal of driving growth in the ICHRA market while maintaining financial discipline.
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.

We're seeking someone with

Healthcare actuarial pricing experience; leadership experience (direct reports or project teams). Ability to build consensus and communicate effectively across departments. Comfortable working with new-to-market products and developing innovative assumptions.  Proficient in SQL, R.

Education/Experience: Bachelor's Degree or equivalent experience required. 5+ years of actuarial, mathematical, statistical, scientific, financial analysis, reporting, data analytics, accounting, and/or underwriting experience. Previous management experience preferred.

Highly preferred: Healthcare actuarial experience; strong analytical and actuarial background. Proficient in Excel, Word, Outlook.

License/Certification: Fellow or Associate of the Society of Actuaries (or equivalent international certification) required and Member of American Academy of Actuaries required.

Eligibility Reminder: To ensure your application is considered, please review the minimum qualifications listed above. Applications from candidates who meet these requirements will be reviewed.

*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Due to the needs of the business, CT time zone is preferred, yet flexible.*

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