Senior Actuarial Analyst (Risk Adjustment) - REMOTE

JOB DESCRIPTION

Job Summary

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources to identify risks.

KNOWLEDGE/SKILLS/ABILITIES

• Build and maintain risk adjustment valuation models (SQL/Databricks).
• Collaborate with Actuarial & Operations staff to design and perform actuarial studies related to risk adjustment program trends. Document assumptions and methodologies.
• Extract and compile information from various systems to support executive decision-making. Analyze results to identify early signs of trends. Recommend operational strategies to identified issues.
• Design and program reports to support operations and financial reporting.
• Research and develop reports and analysis for senior management; effectively communicate results.

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
Experience with Databricks
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.