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Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE
Molina Healthcare Fort Worth, Texas; Spokane, Washington; Albany, New York; Bellevue, Nebraska; Owensboro, Kentucky; Texas; Georgia; Sioux City, Iowa; Omaha, Nebraska; Madison, Wisconsin; Vancouver, Washington; Nampa, Idaho; Racine, Wisconsin; San Antonio, Texas; Cleveland, Ohio; Albuquerque, New Mexico; Las Cruces, New Mexico; Meridian, Idaho; Des Moines, Iowa; Provo, Utah; Austin, Texas; Iowa; Michigan; Idaho; West Valley City, Utah; St. Petersburg, Florida; Iowa City, Iowa; Layton, Utah; Orem, Utah; Buffalo, New York; Lexington-Fayette, Kentucky; Dallas, Texas; Kearney, Nebraska; Augusta, Georgia; Rochester, New York; Yonkers, New York; Mesa, Arizona; Scottsdale, Arizona; Everett, Washington; Columbus, Ohio; Nebraska; Kentucky; Lincoln, Nebraska; Bowling Green, Kentucky; Grand Rapids, Michigan; Sterling Heights, Michigan; Tucson, Arizona; Cedar Rapids, Iowa; Atlanta, Georgia; Detroit, Michigan; Warren, Michigan; Chandler, Arizona; Cincinnati, Ohio; Columbus, Georgia; Ohio; Green Bay, Wisconsin; Davenport, Iowa; Dayton, Ohio; Grand Island, Nebraska; Kenosha, Wisconsin; Louisville, Kentucky; Rio Rancho, New Mexico; Milwaukee, Wisconsin; New Mexico; Savannah, Georgia; Covington, Kentucky; Salt Lake City, Utah; Roswell, New Mexico; Miami, Florida; Caldwell, Idaho; Boise, Idaho; Tacoma, Washington; Jacksonville, Florida; Phoenix, Arizona; Syracuse, New York; Orlando, Florida; Tampa, Florida; Macon, Georgia; Idaho Falls, Idaho; Houston, Texas; Bellevue, Washington; Washington; Wisconsin; Utah; Florida; New York; Ann Arbor, Michigan; Akron, Ohio; Santa Fe, New Mexico Job ID 2032988JOB DESCRIPTION
Job Summary
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.
KNOWLEDGE/SKILLS/ABILITIES
- 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
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in Mathematics, Statistics, or Economics
Required Experience
1-2 Years
Required License, Certification, Association
Must have passed at least 2 actuarial exams.
Preferred Experience
3-4 Years
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.
Pay Range: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 07/30/2025Job Alerts
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