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Manager, Actuarial Services

Company: Coordinated Care
Location: Auburn
Posted on: May 25, 2023

Job Description:

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.--- Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.--- Negotiate capitation rates with State agencies--- Oversee health plan experience, identify trends and recommend improvements--- Research and identify new business opportunities--- Work with Health Plans to ensure soundness of capitation rates--- Work with State agencies to assess impact of program/policy changesAdditional Preferences/Experience:--- Delivers insights and creates analytics capabilities that will enable the organization to succeed in value-based arrangements--- Develops financial models to assess risk and support value based strategies in provider contracts--- Evaluates performance of value-based contracts, drivers of that performance, and identifies actionable opportunities for improvement to leadership, clinical operations and the network team.--- Evaluates contract proposals and supports negotiations to support managed care contracting efforts--- Perform financial reconciliations and make recommendations regarding reinsurance levels and attribution methodologies.--- Perform other analytic duties as neededEducation/Experience: Bachelor's degree or equivalent experience. 5+ years of actuarial experience. License/Certification: Fellow or Associate of the Society of Actuaries (or equivalent international certification). Member of American Academy of Actuaries (or equivalent international membership).Position is available for remote opportunity anywhere within the U.S. with the expectation to travel to Seattle/Tacoma area 1x/quarter (-10% travel).Pay Range: $123,800-- - $228,900This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. The employee may be eligible for bonuses and other forms of compensation.Regular, full-time employees (and their eligible dependents) are eligible for medical, dental, vision, Employee Assistance Program, basic and optional life insurance coverage, as well as participation in the Company's tuition reimbursement program. Employees are able to enroll in our company's 401k plan and an employee stock purchase plan. Full time employees are eligible for up to 18 vacation days, 11 holidays, up to 6 weeks caregiver leave, short-term and long-term disability coverage, all in accordance with applicable law and Company policyOur 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.

Keywords: Coordinated Care, Auburn , Manager, Actuarial Services, Executive , Auburn, Washington

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