Director, Actuarial Services

You could be the one who changes everything for our 28 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.
 

With the flexibility to work remotely anywhere within the United States, this Director, Actuarial Services role is designed for credentialed actuaries with an ASA or FSA designation, active MAAA membership, prior management experience, and a bachelor's degree or higher.

Director, Actuarial Services

We are seeking a strategic and highly adaptable Director, Actuarial Services to lead the financial engineering and evaluation of our most complex Value-Based Care (VBC) contracts and strategic initiatives. Operating at the intersection of actuarial science, data science, and corporate strategy, this leader will take unstructured business problems, break them down conceptually from first principles, and drive actionable solutions.

This is a highly visible, cross-functional role. You will manage a specialized team of actuaries and data scientists and act as a senior advisor to executive leadership across the enterprise. We are looking for an analytical leader with a demonstrated record of impact, the ability to influence across a matrixed environment, and the adaptability to navigate the evolving Medicare, Medicaid, and ACA value-based care landscape.

Position Purpose: Conduct analysis, pricing and risk assessment to estimate VBC financial outcomes. Provide expertise and technical support in matters related to the successful and financially sounds operations of the company's health plan businesses. Serve as a thought leader across enterprise on financial Engineering of VBC contracts.

In this Director, Actuarial Services role, you will: 

• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.
• Design, implement and certify innovative alternative payment models (APM)
• Provide financial modeling, forecasting and analytical support for ATMs
• Review program experience and identify trends
• Present results to Senior Management.
• Performs other duties as assigned.
• Complies with all policies and standards

Additional responsibilities

• Strategic Problem Structuring: Take ambiguous, enterprise-level VBC challenges, break them down conceptually, and design rigorous actuarial frameworks to solve them
• VBC Financial Engineering: Direct the development and negotiation of advanced financial models for complex risk-sharing and value-based arrangements across all lines of business
• Team Leadership & Talent Development: Manage, mentor, and elevate a team of specialized actuaries, fostering a culture of high performance, continuous learning, and analytical rigor
• Matrix Influence: Build consensus and strategic alignment among clinical directors, operational leaders, and finance executives, demonstrating the ability to drive outcomes without relying solely on direct reporting authority
• Executive Communication: Serve as the definitive actuarial voice for VBC strategy, translating deeply complex risk models and financial forecasts into clear, boardroom-ready narratives

Education/Experience

• Bachelor's Degree in a related field or equivalent experience required
• 7+ years of actuarial experience
• 2+ years of provider contracting and alternative payment model experience preferred
• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required

 
Licenses/Certifications: Fellow (FSA) or Associate (ASA) in Society of Actuaries and Member of the American Academy of Actuaries (MAAA)

Preferred Experience

• Demonstrated progression in scope, responsibility, and people leadership, reflecting increasing leadership responsibilities over time
• Experience in actuarial consulting, strategy or healthcare consulting, or leading actuarial teams within Value‑Based Care (VBC) organizations
• Deep expertise in Value‑Based Care (VBC) contracting, medical economics, and leading healthcare strategy initiatives
• Proven ability to address complex, ambiguous business problems using structured analytical approaches; experience in consulting, advisory, or fast‑paced growth environments is highly valued
• Exceptional communication and presentation skills, with the ability to distill complex quantitative concepts for executive and non‑technical audiences

NOTE: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act