Sr Director, Actuarial Srvs. - Reserves

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: Review and opine on reserves ensuring financial health of the company. The position requires creative actuarial capabilities, good communication, and strong interpersonal skills. Provide expertise and technical support in matters related to the successful and financially sound operations of the company''s health plan this Senior Director, Actuarial Services role, you will:Act as an Appointed Actuary certifying the actuarial liabilities for health plans and offering extensive support for other appointed actuariesEstimate liabilities for claims incurred but not paidApply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomesOversee health plan experience, identify trends and recommend improvementsResearch and identify new business opportunitiesWork with Health Plans to ensure soundness of capitation ratesWork with State examiners to assess reserve adequacyThis work includes reviewing company reserves. This role will involve working with senior management to drive decisions for the business. Work with health plans to oversee health plan experience, identify trends, and recommend improvements. This role supports the financial health of the company and helps the company meet financial reporting requirements. Our Comprehensive Benefits Package:Flexible work solutions including remote options, hybrid work schedules and dress flexibilityCompetitive payPaid Time Off including paid holidaysHealth insurance coverage for you and dependents401(k) and stock purchase plansTuition reimbursement and best-in-class training and developmentEducation/Experience: Required: Bachelor''s degree or equivalent experienceRequired: 10+ years of actuarial experience, including 2+ years of applicable product experience preferred. Required: Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required.Highly preferred: Knowledge of Medicaid, Medicare, Pharmacy (specifically Medicare Part D), and ACA Marketplace productsHighly preferred: Ability to sign NAIC statements of actuarial opinionRequired Licenses/Certifications: Fellow (FSA) or Associate (ASA) of the Society of Actuaries (or equivalent international certification). Member of American Academy of Actuaries (or equivalent international membership)Within our actuarial department, your talents and skills will be challenged, recognized and rewarded. We are a pay-for-performance environment that promotes employees based on talent and contribution. In order to maintain our tremendous growth in this space, our over 400 member Actuarial team is growing. Located across the country, this team uses:Technical skills to build leading edge models, predict outcomes and assess future impacts Business skills to develop strategy with senior leadership Personal skills to interact with state, federal and private employer customersManagement skills to organize cross department projects Areas of focus within our Actuarial Department includes: Medicare / Medicaid / Marketplace / Commercial / Risk Adjustment / Reserving / Actuarial Analytics / Value Based Contracting / Actuarial Reporting / Health Policy About Us:Centene Corporation, a FORTUNE 25 company, is the leading multi-national healthcare enterprise committed to helping people live healthier lives. We are revolutionizing the world of healthcare through digital transformation. Our world class teams use collective innovation to turn visions into action and challenge what is possible. We are an industry leader with a local focus and a global vison:Listed on FORTUNE magazine''s World''s Most Admired Companies List for 2nd consecutive year.Ranked No.2 on the FORTUNE 500 Measure Up Initiative, a new benchmark to identify companies building inclusive and fair workplaces.National footprint in all 50 states, serving 1 in 15 individuals in the U.S.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.

Created: 2025-11-15