高级精算分析师 - 医疗保险
Senior Actuarial Analyst - Medicare
职位职责：协助财务分析、预测、定价和风险评估工作，以支持医疗保险优势计划的财务表现。
关键信息：美国本土全远程办公。需要精算经验并正在获取精算资质，满足5年规则（精算经验年限与通过的精算考试数量之和至少为5）。高度优先考虑的经验包括医疗保险优势计划预测、财务表现、医疗保险按服务付费（FFS）医疗成本、节约计划以及供应商风险分担安排。需要中级到高级的Excel技能和数据分析经验；需要基本的查询/SQL知识，有AI/Copilot经验者优先。
在高级精算分析师职位中，您将：
- 运用数学、概率、统计学、金融和商业原理分析医疗保险按服务付费（FFS）索赔、节约计划和供应商风险分担安排。
- 制定并维护医疗保险按服务付费（FFS）医疗成本、节约计划和供应商风险分担安排的季度预测，识别关键趋势、假设和预测差异。
- 开发并运行数据报告，以识别新兴趋势和差距。
- 准备财务和分析展示材料，并有效地向技术和非技术受众传达发现结果。
- 与内部业务合作伙伴协作，支持预测、报告和财务分析需求。
- 完成其他指派的任务。
教育/经验：相关领域的学士学位或同等经验。工作经验年限与通过的精算考试数量之和等于或超过5（5年规则）。例如，2年精算经验加3门通过的精算考试。
执照/认证：工作经验年限与通过的精算考试数量之和等于或超过5（5年规则）。例如，2年精算经验加3门通过的精算考试。
薪资范围：每年70,100.00至126,200.00美元
在Centene，我们帮助人们获得他们需要的医疗服务，过上更健康的生活——你在这里的工作每天都在真正产生影响。你将面对有意义的挑战，直接支持个人、家庭和社区，同时提升自己的技能，使医疗保健更加可及和高效。这是你能看到成果的有意义的工作，由一支致力于在工作时间之外改善生活的团队支持。
Centene提供全面的福利包，包括
查看英文原文
Position Purpose: Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.
Key Details: Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.
In this Sr. Actuarial Analyst role, you will:
- Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.
- Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.
- Develop and run data reports to identify emerging trends and gaps.
- Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.
- Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.
- Perform other duties as assigned.
Education/Experience:
Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.
License/Certification: Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.
Pay Range: $70,100.00 - $126,200.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
Originally posted on Himalayas