高级经理，精算服务 - 医疗保险
Sr. Mgr., Actuarial Services - Medicare
职位职责：进行战略分析、同行评审，开发和维护工具以支持规划流程、定价和评估风险，以预测财务结果。在与公司业务成功和财务稳健运营相关的事项中提供专业知识和技术支持。
关键信息：候选人必须拥有6年以上精算经验，并持有ASA或FSA资格（MAAA优先）。理想的候选人应具备战略思维和创新思维，有医疗保健和医保优势精算经验，包括成本趋势分析、投标开发和精算工具开发。需要具备较强的技术能力，包括高级Excel（如数组、数据透视表、VBA和查询）、SQL、SAS，以及有效利用AI工具来增强精算分析和决策的能力。该职位直接管理2-4名下属，具有较高的组织内可见度，且为美国大陆地区全远程办公（优先考虑ET/CT时区，但非必需）。
在高级经理，精算服务职位中，您将：
· 参与并支持医保战略计划和规划
· 负责工具和/或流程，支持相关内部用户的需求
· 如果符合美国精算师协会会员资格，审核并认证MA投标（通常5-15份）
· 培训和教授下属的技术技能以及医保项目知识，培养他们成为精算师
· 运用数学、概率、统计学以及金融和商业原则计算财务结果
· 与州、联邦和/或私营机构协商定额或保费费率
· 监督健康计划经验，识别趋势并提出改进建议
· 研究并发现新的业务机会
· 研究并分析立法变化的影响
· 向内部业务合作伙伴（如健康计划、财务、会计和其他部门）汇报结果（定价、风险、机会）
· 就分析结果向管理层提出可操作的建议
· 领导跨职能团队解决组织面临的关键问题
· 在特定领域推荐政策和程序变更，执行其他指派的任务，并遵守所有政策和标准
教育/经验：需要学士学位或同等经验。需要6年以上精算经验。
资质证书：精算师学会的资深会员或准会员
查看英文原文
Position Purpose: Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.
Key Details: Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).
In this Senior Manager, Actuarial Services role, you will:
- Contribute to and support Medicare strategic initiatives and planning
- Own tools and/or processes, supporting related internal users’ needs
- If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)
- Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries
- Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes
- Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies
- Oversee health plan experience, identify trends, and recommend improvements
- Research and identify new business opportunities
- Research and analyze the impact from legislative changes
- Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)
- Develop actionable recommendations to management relative to analysis
- Lead cross-functional teams to address key issues facing the organization
- Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards
- Education/Experience: Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.
- Licenses/Certifications: Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.
- Pay Range: $134,600.00 - $249,000.00 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