Actuarial Analyst (Risk Adjustment) - REMOTE

Molina Healthcare

4d • Remote

About The Position

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.

Requirements

• Bachelor's Degree in Mathematics, Statistics, or Economics
• 1-2 Years
• Must have passed at least 2 actuarial exams.

Nice To Haves

• 3-4 Years

Responsibilities

• Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores.
• Calibrate risk adjustment models based on state programs
• Develop and lead actuarial studies related to risk scores and present findings to leadership
• Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting
• Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.
• Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees