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Sr. Mgr., Actuarial Services - Medicare

Centene · MN · Remote available · $134,600–$249,000 a year · Full time

Posted Sep 23, 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 an actuarial tool you built. What problem did it solve and who used it?

What they are checking: Whether they build tools others can rely on, which this role owns and supports.

How do you train a newer actuarial analyst on technical work while meeting bid deadlines?

What they are checking: Whether they can develop their two to four direct reports even during the busiest season.

Tell me about a time your analysis changed a strategic decision for a Medicare product.

What they are checking: Whether their work has influenced business direction, not just supported decisions already made.

What would you do

Leadership wants a richer benefit package, but your projections show it hurts margin. How do you present that?

What they are checking: Whether they can give clear financial tradeoffs and options rather than just saying no.

You find an error in a model after results have been shared. What do you do?

What they are checking: Whether they own and correct mistakes quickly, which matters for actuarial integrity.

About the work

Walk me through how you develop a Medicare Advantage bid from base period experience to the final bid.

What they are checking: Whether they know the bid process end to end, including projection, benefits and margin decisions.

What would you check in a peer review of an MA bid before you certify it?

What they are checking: Whether they know where bids commonly go wrong and take the responsibility of certification seriously.

How do you analyze cost trend, and how do you separate true trend from mix or one-time effects?

What they are checking: Whether they can decompose trend carefully instead of treating one number as the whole story.

How do you use Excel, SQL and SAS together in your work, and where does each one fit?

What they are checking: Whether they have the hands-on technical depth the posting requires, not just management experience.

How have you used AI tools to improve actuarial analysis, and where do you not trust them?

What they are checking: Whether they can use new tools for speed while keeping actuarial judgment and checks in place.

How do risk adjustment changes from CMS affect your projections?

What they are checking: Whether they understand how revenue changes from model updates flow into Medicare strategy and bids.

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The full job description

As published by Centene.

Position Purpose: Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses. Key Details: Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required). In this Senior Manager, Actuarial Services role, you will: • Contribute to and support Medicare strategic initiatives and planning • Own tools and/or processes, supporting related internal users’ needs • If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids) • Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries • Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes • Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies • Oversee health plan experience, identify trends, and recommend improvements • Research and identify new business opportunities • Research and analyze the impact from legislative changes • Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments) • Develop actionable recommendations to management relative to analysis • Lead cross-functional teams to address key issues facing the organization • Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards Education/Experience: Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required. Licenses/Certifications: Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred. Pay Range: $134,600.00 - $249,000.00 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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