Operations Manager Jobs in Evanston, WY (NOW HIRING)

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.

To be considered for this role, candidates must have an ASA or FSA designation, a bachelor’s degree or higher, and at least 5 years of actuarial experience.

Location: Work remote from home anywhere in the Continental US.

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sounds operations of the company's health plan businesses.

Why This Role Is Appealing:

• As a critical leader on the team, you'll shape Value-Based Care (VBC) strategies, vendor arrangements, and contract design that drive significant financial value across multiple lines of business
• Lead a small team while enjoying diverse, high-visibility work, broad organizational exposure, and minimal repetitive tasks

In this Manager, Actuarial Services role, you will:

• Collaborate effectively with internal matrix partners to ensure VBC strategies are analytically sound, operationally feasible, and aligned with enterprise goals
• Research and identify new business opportunities
• Work with Medicare/marketplace and Medicaid teams to assess impact of program/policy changes on trends and vendor contracts
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
• Oversee health plan experience, identify trends and recommend improvements
• Performs other duties as assigned
• Complies with all policies and standards

Additional responsibilities will include:

• Lead the development of sophisticated financial models to assess financial risk and opportunity associated with proposed and existing VBC arrangements (e.g., shared savings/risk, capitation, bundled payments, specialty carve-outs)
• Provide robust analytical support and subject matter expertise during negotiations with external vendors, defend analytical methodologies, and clearly articulate the company's financial positions related to VBC arrangements

Education/Experience:

• Bachelor's Degree or equivalent experience required
• 5+ years of actuarial, mathematical, statistical, scientific, financial analysis, reporting, data analytics, accounting, and/or underwriting experience
• Previous management experience preferred

Certifications: Fellow or Associate of the Society of Actuaries (or equivalent international certification) required, and Member of American Academy of Actuaries preferred

Preferred Skills:

• Experience with Vendors and vendor arrangements
• Experience with Excel, SQL, Teradata, Snowflake and/or SAS
• Experience working with claims and revenue data and analyzing trend

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