JOB DESCRIPTION
Job Summary
Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.
KNOWLEDGE/SKILLS/ABILITIES
- Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions.
- Analyze results to identify early signs of trends or other issues related to risk scores.
- Design and maintain risk score models.
- Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting.
- Extract and compile information from various systems to support executive decision-making.
- Research and develop reports and analysis for senior management; effectively communicate results.
- Assist in the preparation of forecasts/bids/filings related to risk adjustment.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Mathematics, Statistics, or Economics
Required Experience
2-4 Years
Required License, Certification, Association
Must have passed at least 3 actuarial exams.
Preferred Experience
5-6 Years
Preferred License, Certification, Association
ASA or near ASA
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Working at
Molina Healthcare
Molina Healthcare is a leading managed healthcare company dedicated to providing quality healthcare services to underserved communities. With a strong commitment to improving access to care, Molina Healthcare offers a wide range of health insurance plans and solutions. As an actuary at Molina Healthcare, you'll play a crucial role in assessing and managing risks to ensure the financial stability of the company's healthcare offerings. Actuaries at Molina Healthcare utilize their expertise in statistical analysis and risk assessment to develop pricing strategies, analyze healthcare trends, and provide insights that support evidence-based decision-making. Molina Healthcare's focus on serving vulnerable populations and providing cost-effective care creates unique challenges and opportunities for actuaries. Collaborating with cross-functional teams, actuaries at Molina Healthcare analyze complex healthcare data, identify trends, and develop innovative solutions that improve health outcomes while managing costs. Professional growth is highly valued at Molina Healthcare, and actuaries have access to ongoing training and development opportunities. Actuaries can enhance their skills and expertise while contributing to the company's mission of providing quality healthcare to those who need it most. Join Molina Healthcare's esteemed actuarial team and embark on a fulfilling career where you can make a meaningful impact on underserved communities, drive healthcare innovation, and enjoy a supportive work environment.