• Provide actuarial leadership and oversight for DCS pricing activities, including rate reviews, underwriting, and annual pricing submissions. • Establish and maintain actuarial standards, pricing frameworks, and governance processes. • Review, approve, and recommend rate actions, pricing assumptions, and risk positions. • Own actuarial evaluation of margin performance and profitability drivers. • Ensure pricing strategies and rate execution are aligned with target margins and durable growth goals. • Identify emerging risks and develop mitigation strategies in partnership with Business Leads, Finance and Underwriting. • Assess and manage the financial and pricing implications of federal and state regulatory changes impacting Commercial Pharmacy and Mental Health Parity. • Oversee intercompany pharmacy pricing discussions and work with both Caremark and Aetna IBU teams to ensure pharmacy value is effectively deployed for Fully Insured, AFA and integrated ASC business. • Lead and mentor a multi-disciplinary team, fostering organizational agility and development.

Role Description 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. Position Purpose: - Conduct analysis, pricing and risk assessment to estimate financial outcomes in support of the enterprise’s highest-priority Value-Based Care (VBC) initiatives. In this Actuary role, you will: - Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes. - Support methodology development and refinement of valuation approaches used to measure program efficacy and shared savings. - Extract, clean, and analyze complex claims and clinical datasets to stand up valuation models end-to-end. - Ensure cash reserves and liabilities enable payment of future benefits. - Determine equitable basis for distributing money for insurance benefits. - Participate in merger and acquisition analysis. - Perform other duties as assigned. - Comply with all policies and standards. Qualifications - Bachelor's Degree in related field or equivalent experience required. - 5+ years actuarial experience required. - Associate of the Society of Actuaries (ASA) required. - Member of the American Academy of Actuaries preferred. Requirements - Experience in govt funded healthcare, Value-Based Care analytics, or medical cost trend analysis. - Hands-on data extraction and modeling skills (SQL), advanced Excel, R/SAS/Python. - Experience evaluating financial impact of clinical programs or care management initiatives. - Comfort navigating ambiguity and scoping undefined business problems without an established playbook. Benefits - Competitive pay. - Health insurance. - 401K and stock purchase plans. - Tuition reimbursement. - Paid time off plus holidays. - 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. Company Description 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.

Role Description We are seeking a highly analytical and detail-oriented Actuary to assess financial risk and support strategic decision-making through advanced statistical modeling and forecasting. This role is responsible for evaluating risk exposure, pricing models, and financial outcomes across insurance, pension, or investment-related products. The ideal candidate has strong quantitative expertise, professional actuarial credentials, and the ability to translate complex data into actionable insights. - Develop and maintain actuarial models to assess risk, pricing, reserving, and financial projections. - Analyze large datasets to identify trends, forecast outcomes, and support business strategy. - Perform loss reserving analyses and ensure adequacy of reserves. - Collaborate with underwriting, finance, and risk management teams to optimize pricing strategies. - Prepare actuarial reports, presentations, and documentation for internal stakeholders and regulatory bodies. - Ensure compliance with regulatory requirements and actuarial standards of practice. - Conduct sensitivity analyses and scenario modeling to evaluate financial risks. - Support product development through actuarial input on design, pricing, and profitability. - Review and validate actuarial assumptions, methodologies, and models. - Stay current with industry trends, regulatory changes, and emerging risks. Qualifications - Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, or a related field. - Associate (ASA/ACAS) or Fellow (FSA/FCAS) designation from a recognized actuarial body is preferred. - 4–8+ years of actuarial experience in insurance, pensions, consulting, or financial services. - Strong proficiency in actuarial modeling tools and programming languages (e.g., Excel, VBA, R, Python, or SAS). - In-depth knowledge of actuarial principles, financial mathematics, and risk modeling techniques. - Excellent analytical, problem-solving, and critical-thinking skills. - Strong communication skills with the ability to present complex findings clearly. - Ability to work independently in a remote and collaborative environment. Benefits - Flexible remote work environment - Competitive hourly compensation - Professional development and exam support (if applicable) - Opportunities for advancement within actuarial and risk functions - Collaborative and data-driven work culture

Lead Actuary – Pharmacy Pricing - REMOTE Apply locations Home time type Full time job requisition id R-16830 At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Lead Actuary – Pharmacy Pricing - REMOTE Job Description The Lead Actuary – Pharmacy Pricing leads complex pharmacy pricing and rebate guarantee analyses for Prime’s existing and prospective clients. This role partners closely with senior leaders to deliver client-specific pricing recommendations, navigate market-driven uncertainty, and translate complex analyses into clear, actionable insights. The position leads high-visibility initiatives and mentors actuarial team members. Key Responsibilities - Serve as a subject matter expert on pharmacy pricing and rebate guarantees, partnering with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership - Lead the development, review, and delivery of complex pricing analyses, projections, and actuarial models - Own and execute ad hoc pharmacy data analyses to evaluate rebate performance, market events, and actual-to-expected results - Provide strategic pricing guidance on formulary methodology and rebate structures using market research and financial modeling - Present analyses and recommendations to senior stakeholders and clients; respond to detailed, challenging questions with confidence - Lead high-impact, cross-functional workstreams that require strong judgment, prioritization, and accountability - Mentor and support Analysts and junior Actuaries through technical guidance and ongoing feedback - Monitor health policy, regulatory, and market developments and assess implications for pricing strategy - Ensure compliance with applicable federal regulations and actuarial standards - Perform other duties as assigned Minimum Qualifications - Bachelor’s degree in Math, Actuarial Science, Economics or Finance or equivalent combination of education and/or relevant work experience; HS diploma or GED is required - 8 years of actuarial work experience to include 6 years in a healthcare organization or PBM - Actuarial designation (ASA or FSA) - Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications - Advanced proficiency in Excel; working knowledge of SAS, SQL, VBA, or similar tools - Strong analytical and problem-solving skills with the ability to work through ambiguity - Ability to manage multiple complex priorities and deliver under tight timelines - Clear, professional written and verbal communication skills - Effective client-facing and executive presentation skills Preferred Qualifications - Experience pricing Commercial, Medicare, and/or Medicaid pharmacy benefits - Demonstrated experience leading complex pricing or rebate-related initiatives - Prior client-facing experience supporting executive-level discussions Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.