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Senior Actuarial Analyst - Medicare

Centene · IL · Remote available · $70,100–$126,200 a year · Full time

Posted Sep 17, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about your actuarial exam progress and experience. How do you meet the Rule of 5?

What they are checking: Whether they meet the posting's stated requirement and are actively progressing.

How have you used AI or Copilot in your analysis, and where do you not trust it?

What they are checking: Whether they use AI tools sensibly while checking results carefully.

What would you do

Your forecast missed actual costs by a wide margin last quarter. How do you explain the variance?

What they are checking: Whether they can break down variance into causes and improve the next forecast.

You find a data gap that could affect this quarter's forecast. What do you do?

What they are checking: Whether they flag uncertainty early and adjust rather than hiding it.

About the work

How would you build a quarterly forecast for Medicare fee-for-service medical costs?

What they are checking: Whether they understand completion factors, trend and seasonality in forecasting.

What do you know about provider risk-sharing arrangements in Medicare Advantage?

What they are checking: Whether they understand how shared risk with providers affects plan financials.

How do you measure the savings from an initiative in Medicare Advantage?

What they are checking: Whether they can separate true savings from normal trend or population changes.

What Excel techniques do you rely on for forecasting and exhibits?

What they are checking: Whether their Excel skills support clean, auditable financial exhibits.

How do you present a forecast to someone without a technical background?

What they are checking: Whether they can explain trends and assumptions clearly to non-technical audiences.

What makes Medicare Advantage financial performance hard to predict?

What they are checking: Whether they understand risk scores, utilization swings and benefit changes that move results.

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The full job description

As published by Centene.

Position Purpose: Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance. Key Details: Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus. In this Sr. Actuarial Analyst role, you will: • Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements. • Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances. • Develop and run data reports to identify emerging trends and gaps. • Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences. • Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs. • Perform other duties as assigned. Education/Experience: Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams. License/Certification: Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams. Pay Range: $70,100.00 - $126,200.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. 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

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