Mgr, Actuarial Svcs - REMOTE

JOB DESCRIPTION

Job Summary

We are looking for an adaptable actuary to assist in pricing Molina Marketplace ACA Individual Products. The right candidate should be comfortable working on a product with changing rules and a competitive landscape. You will help analyze market trends, develop basic models, and provide insights to support decision-making. Additional responsibilities may include financial forecasting, supporting network development, and developing product strategy.

Job Duties

• Develop Individual ACA rates, prepare and sign rate filings, and respond to regulator objections
• Demonstrate a strong understanding of ACA risk adjustment concepts 
• Monitor financial projections and adapt models to reflect emerging trends and market changes
• Exhibit curiosity and the ability to adapt and understand market trends and changes
• Communication of complex quantitative concepts and recommendations clearly and concisely to stakeholders.
• Mentor and train other actuarial staff
• Additional knowledge and skills may include:
  • Design and evaluate plan offerings
  • Evaluate competitors and market conditions
  • Support the monthly financial forecasting process by assessing appropriate methodologies, making necessary adjustments, and thoroughly reviewing results for reasonableness
  • Assist with the monthly accounting accruals process to estimate and book MLR rebates
  • Evaluate impact of provider contracting changes
  • Review and design SQL databases and queries to support analytical studies

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Bachelor’s Degree

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

Minimum 6 years of experience in addition to leadership experience

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

Must have passed at least 4 actuarial exams.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Fellow of the Society of Actuaries, Member of the American Academy of Actuaries

 

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.