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Centene Corporation Director, Actuarial Svcs. - Dual Medicare/Medicaid (remote) in Topeka, Kansas

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:

  • 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 with Medicare Advantage or Medicaid experience, focused on members that are dual enrolled in both programs highly preferred.

In this Director, Actuarial Services position, you will:

• Partner with Complex Care Product Team on business strategy for MLTSS and Dual product lines.

• Monitor MLTSS and Dual products’ performance and interface with leaders in Medicare and Medicaid to identify and realize opportunities.

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

• Negotiate capitation or premium rates with State or Federal agencies.

• Review health plan experience and identify trends

• Analyze new business opportunities.

• Work with Health Plans to ensure soundness of capitation or premium rates

• Work with State or Federal agencies to assess impact of program/policy changes.

• Present results to Senior Management/State agencies.

Education/Experience:

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

  • 7+ 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.

  • Experience with Medicare Advantage or Medicaid experience, focused on members that are dual enrolled in both programs highly preferred.

License/Certification:

  • Fellow or Associate in 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: Director, Actuarial Svcs. - Dual Medicare/Medicaid (remote)

LOCATION: Various, Kansas

REQNUMBER: 1354333

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