Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE
JOB DESCRIPTIONJob SummaryResponsible 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.KNOWLEDGE/SKILLS/ABILITIESAnalyze risk score results – calculate financial impact and identify trends or other issues related to risk scores.Calibrate risk adjustment models based on state programsDevelop and lead actuarial studies related to risk scores and present findings to leadershipGenerate and distribute routine reports to support risk adjustment calculations, pricing, and financial reportingIdentify opportunities for improvement in risk adjustment programs and develop advocacy accordinglyJOB QUALIFICATIONSRequired EducationBachelor's Degree in Mathematics, Statistics, or EconomicsRequired Experience2-4 YearsRequired License, Certification, AssociationMust have passed at least 3 actuarial exams.Preferred Experience5-6 YearsPreferred License, Certification, AssociationASA or near ASATo 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.Originally posted on Himalayas
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