Senior Actuary - VBC / Vendor Analytics

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.
 

Position Purpose: Conduct complex financial analysis, risk assessment, and negotiation support focusing specifically on Value-Based Care (VBC) arrangements and performance analytics related to external vendors, to estimate, influence, and optimize financial outcomes.

In this Senior Actuary role, you will:

• Apply knowledge of mathematics, probability, statistics, principles of finance and business to design, model, financially engineer, and evaluate complex Value-Based Care (VBC) financial arrangements and associated vendor contracts
• Lead the development of sophisticated financial models to assess financial risk and opportunity associated with proposed and existing VBC arrangements (e.g., shared savings/risk, capitation, bundled payments, specialty carve-outs).
• Provide robust analytical support and subject matter expertise during negotiations with external vendors, defend analytical methodologies, and clearly articulate the company's financial positions related to VBC arrangements.
• Collaborate effectively with internal matrix partners (including, but not limited to, Medical Economics, Enterprise Partnerships, Network Management, Clinical Operations, Finance, and Data Analytics teams) to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals.

Why this role is appealing:

• High Impact: Directly shapes multi-million dollar VBC contracts and influences key strategic decisions related to vendor partnerships.
• Autonomy & Ownership: Significant independence to lead complex workstreams, solve problems, and drive initiatives.
• Intellectual Challenge: Requires sophisticated analytical modeling, financial engineering, and strategic thinking in the evolving VBC landscape.
• Visibility: Opportunity to work closely with senior leaders internally and negotiate with external vendor executives.
• Team & Leadership: We foster a collaborative environment where analytical rigor is valued. My leadership style focuses on empowering team members, providing strategic direction while allowing for autonomy in execution, and supporting professional development.

Education/Experience:

• Bachelor's degree in Business or related field.   
• 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification;
• OR, 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification.

License/Certification: Fellow or Associate in Society of Actuaries (or equivalent international certification); Member of American Academy of Actuaries (or equivalent international membership).

Highly preferred:

• Experience in health actuarial/analytics/data science. Preference for someone with hands-on experience in VBC contract modeling, financial engineering, and analysis within a payer environment.
• Technical Skills  Advanced Excel modeling, strong SQL for data analysis, understanding of healthcare data structures. Experience with data visualization tools (e.g., Tableau, Power BI); broader statistical programming experience (R, Python if not already required).
• Negotiation & Communication: Proven ability to negotiate complex financial/analytical terms externally and explain sophisticated concepts clearly to diverse audiences.
• VBC Expertise (preferred but not required): Deep understanding of various VBC models (shared savings/risk, capitation, bundles), including baseline setting, risk adjustment, performance metrics, and reconciliation logic.

*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States*

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.  Total compensation may also include additional forms of incentives.

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