Actuary – Valuation & Reserving
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Actuary supporting claims reserving, valuation, and NAIC opinions for Centene’s healthcare operations. Analyzing financial outcomes, premiums, liabilities, and actuarial trends remotely across the continental U.S.
Responsibilities:
- Conduct analysis, pricing, and risk assessment to estimate financial outcomes
- Support the Actuarial Valuation Team through experience and trend analysis, valuation activities, and communication of financial results
- Estimate liabilities for claims incurred but not paid
- Communicate financial results to health plans and other internal stakeholders
- Support the NAIC actuarial opinion process
- Apply mathematics, probability, statistics, finance, and business principles to calculate financial outcomes
- Develop probability tables based on statistical data and other pertinent information
- Review insurance plans and calculate required premium rates
- Ensure cash reserves and liabilities enable payment of future benefits
- Determine an equitable basis for distributing money for insurance benefits
- Participate in merger and acquisition analysis
- Help develop new processes and identify operational efficiencies
- Collaborate across departments and gain exposure to leadership
- Perform other duties as assigned
Requirements:
- Bachelor's Degree in related field or equivalent experience required
- 5+ years of actuarial experience with Associate in Society of Actuaries (ASA) certification, or 4+ years of actuarial experience with Fellow in Society of Actuaries (FSA) certification required
- Associate of the Society of Actuaries (ASA) certification required
- Member of the American Academy of Actuaries (MAAA) preferred
- Healthcare and valuation actuarial experience
- Experience estimating claims incurred but not paid
- Knowledge of NAIC actuarial opinions
- Strong Excel skills, including VBA, arrays, PivotTables, and queries
- SQL, Python, Power BI, and ability to leverage AI tools preferred
- Fully remote within the continental U.S.
- Ability to apply mathematics, probability, statistics, finance, and business principles
- Compliance with all policies and standards
Benefits:
- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
Similar Jobs
Lead Actuary
Lead Actuary owning pricing, portfolio monitoring, and models for Kinetic’s technology-driven workers’ compensation platform. Presenting analytics to underwriters and carrier partners.
Senior Analyst, Actuarial Services
Senior actuarial analyst developing forecasts, models, and financial insights for Evolent’s specialty healthcare programs. Supporting leadership decisions and improved outcomes through rigorous analysis.
Associate Actuary
Associate Actuary modeling claims, trends, forecasts, and value-based care data for HarmonyCares’ in-home primary care services. Supporting actuarial, clinical, finance, and business development teams.
Actuarial Director, Pricing
Actuarial Director leading pricing, rate filings, and risk analysis for PacificSource’s Commercial and Medicare Advantage healthcare plans. Managing actuarial teams and supporting financial performance.
Actuarial Director, Pricing
Actuarial Director leading Commercial pricing and Medicare Advantage bids at PacificSource, a health insurer. Managing actuarial teams, models, filings, risk analysis, and financial planning.
Associate Actuary
Associate Actuary developing reserves, rates, forecasts, and reinsurance analyses for SAIF, Oregon’s workers’ compensation insurer. Advising executives, regulators, and business partners through actuarial analytics.
Senior Actuarial Associate
Actuarial associate analyzing US GAAP, Bermuda EBS/BSCR, and embedded value results for Martello Re’s reinsurance business. Supporting forecasts, assumption reviews, audits, and reporting automation.
Senior Analyst – Actuary
Actuarial Senior Analyst modeling MA, Medicaid, and Commercial payer contracts for Astrana Health. Building financial analytics, dashboards, and negotiation models.
Actuarial Analyst
Actuarial Analyst supporting Blue Cross NC health-plan reserving, forecasting, and healthcare analytics. Performing valuation, rate filing, statistical analysis, and financial reporting.
Actuarial Analyst
Actuarial Analyst building predictive models and delivering pricing analysis for Everywhen’s specialist insurance products. Collaborating with underwriters, claims, and business teams.
Associate Actuary, Analytics, Forecast
Associate Actuary developing Databricks-based valuation and forecasting models for Humana’s Medicare, Medicaid, Dental and Vision healthcare businesses. Ensuring data integrity and improving model performance.
Actuarial Consultant
Actuarial Consultant supporting rate analyses, reserve studies, and filings for Perr&Knight’s insurance consulting clients. Remote or hybrid across selected U.S. states.
Enrolled Actuary
Enrolled Actuary reviewing Defined Benefit and Cash Balance plans for Strongpoint Partners’ retirement services platform. Handling compliance testing, filings, FASB reports, and client consulting.
Chief Actuary
Chief Actuary leading pricing, reserving, forecasting, and Medicare Advantage strategy for Clover Health’s data-driven health insurance business. Modernizing actuarial operations through AI, automation, governance, and team development.
VP and Lead Actuary
Vice President and Lead Actuary leading Hanover’s Core Commercial actuarial and data science practices. Driving pricing, portfolio profitability, regulatory execution, and strategic business growth.
VP, Lead Actuary
Lead The Hanover’s Core Commercial Lines actuarial practice, pricing, and data science teams. Shaping strategy, profitability, regulatory filings, and data-driven business decisions.
Actuarial Cost Reporting Intern, Undergraduate – Summer
Actuarial Cost Reporting Intern supporting Centene’s managed-care reporting and financial modeling projects. Building Excel and SQL skills while documenting processes and improving reports.
P&C Actuary, Portfolio Risk Manager
P&C actuary creating pricing, reserving, and portfolio-risk scenarios for Mercor’s AI-lab partner. Evaluating AI outputs against actuarial standards and providing calibration feedback.
Director, Actuary – Part D
HCSC Director & Actuary leading complex Medicare Part D actuarial teams, modeling, budgets, and strategy. Remote role serving HCSC’s health insurance business.
Actuarial Analyst
Actuarial Analyst analyzing group insurance profitability and pricing products for Blue Cross Life, a leading Canadian life insurer. Supporting underwriting, reinsurance, reporting, and system implementations.