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Centene Corporation

Vice President, Actuarial Services & Risk Management

Centene Corporation - Woodland Hills, CA

Position Purpose: Provide expertise and actuarial support to ensure efficient and effective operations of the commercial product lines.

Develop actuarial pricing models for commercial and Exchange products to calculate the required premium levels in the open enrollment environment. Deliver pricing models that reflect the impact of ACA structural rating rules and develop various scenarios to identify pricing variations and risk margin Provide analytical support to improve long-term stability and financial viability of Exchange products through risk adjustment modeling to optimize revenue Establish assumptions and provide feedback on product design and reimbursement strategies Provide actuarial expertise and support business expansion activities for new product lines Provide pricing for renewal business, new benefit design for marketplace and continue to price renewals for adequate rate increase Provide support for reinsurance arrangement and establish and adjust premium deficiency reserve and various capital requirements Work closely with Exchange and DOI authorities to negotiate adequate pricing and to gain required approvals Education/Experience: Bachelor's degree in Finance, Business Administration, Actuarial Science or related field. 10 years of actuarial experience.

Knowledge of Health Care Reform (ACA) regulations and implications on actuarial services and risk management. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. License/Certification:

Associate or Fellow of the Society of Actuaries (ASA or FSA). 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. SDL2017

9 days 23 hours ago

Centene Corporation


Vice President, Actuarial Services & Risk Management Centene Corporation - Woodland Hills, CA, United States


Location: Woodland Hills, CA

Company Profile:
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations