Actuary, Vendor Analytics VBC

New

Skills

Financial Modeling Healthcare Analytics Negotiation skills Sql

Centene Corporation, a leader in government-sponsored healthcare services, is seeking an experienced Actuary to join our Vendor Analytics team. This pivotal role focuses on the financial engineering, analysis, and negotiation of Value-Based Care (VBC) arrangements across Medicare, Medicaid, and ACA lines of business. The position offers the opportunity to shape multi-million dollar contracts, collaborate with diverse teams, and drive strategic initiatives within a flexible, remote-friendly work environment.

Job Overview
  • Lead financial modeling and analysis for VBC contracts with external vendors.
  • Support negotiations by providing analytical expertise and defending methodologies.
  • Collaborate with cross-functional teams to align VBC strategies with enterprise goals.
  • Influence strategic decisions impacting vendor partnerships and contract structures.
  • Operate with significant independence to drive initiatives in a dynamic healthcare landscape.
Key Responsibilities
  • Develop and maintain sophisticated financial models for VBC arrangements (e.g., shared savings/risk, capitation, bundled payments).
  • Evaluate financial risk and opportunity of proposed and existing contracts.
  • Provide subject matter expertise during contract negotiations with external vendors.
  • Collaborate with Medical Economics, Finance, Network Management, and Data Analytics teams.
  • Communicate complex actuarial concepts to both technical and non-technical stakeholders.
Required Skills & Qualifications
  • Bachelor's degree in a related field or equivalent experience.
  • 5+ years of actuarial experience, preferably in healthcare analytics or managed care.
  • Associate of the Society of Actuaries (ASA) and membership in the American Academy of Actuaries.
  • Hands-on experience with VBC contract modeling and financial engineering in payer environments.
  • Advanced Excel modeling and strong SQL skills.
  • Knowledge of Medicare, Medicaid, and ACA programs in managed care settings.
  • Experience with data visualization tools (e.g., Tableau, Power BI) and statistical programming (R or Python) is a plus.
  • Strong negotiation skills and the ability to articulate complex concepts clearly.
  • Deep understanding of VBC models, risk adjustment, and reconciliation logic.
  • Proven ability to lead complex workstreams and solve analytical problems independently.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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