Senior Actuarial Analyst (Risk Adjustment) - REMOTE
Molina Healthcare Jacksonville, Florida; Augusta, Georgia; Miami, Florida; Kenosha, Wisconsin; Rio Rancho, New Mexico; Albuquerque, New Mexico; Las Cruces, New Mexico; Sterling Heights, Michigan; Dallas, Texas; West Valley City, Utah; Grand Island, Nebraska; Idaho Falls, Idaho; Georgia; Michigan; Salt Lake City, Utah; Mesa, Arizona; Tacoma, Washington; Spokane, Washington; Albany, New York; Boise, Idaho; Sioux City, Iowa; Detroit, Michigan; Yonkers, New York; Iowa; Akron, Ohio; Layton, Utah; Kearney, Nebraska; Des Moines, Iowa; Syracuse, New York; Covington, Kentucky; Green Bay, Wisconsin; St. Petersburg, Florida; Davenport, Iowa; Iowa City, Iowa; Everett, Washington; Caldwell, Idaho; Scottsdale, Arizona; Nebraska; Ohio; Chandler, Arizona; Nampa, Idaho; Lincoln, Nebraska; New Mexico; Columbus, Ohio; Madison, Wisconsin; Warren, Michigan; Omaha, Nebraska; Ann Arbor, Michigan; Macon, Georgia; Idaho; Cedar Rapids, Iowa; Atlanta, Georgia; Orlando, Florida; Fort Worth, Texas; Orem, Utah; Cleveland, Ohio; Grand Rapids, Michigan; Lexington-Fayette, Kentucky; Racine, Wisconsin; Bellevue, Washington; Bellevue, Nebraska; Houston, Texas; Utah; New York; Florida; Tucson, Arizona; Roswell, New Mexico; Louisville, Kentucky; Austin, Texas; Owensboro, Kentucky; Vancouver, Washington; Provo, Utah; Milwaukee, Wisconsin; Texas; Wisconsin; Dayton, Ohio; Rochester, New York; Cincinnati, Ohio; Santa Fe, New Mexico; Buffalo, New York; Meridian, Idaho; Tampa, Florida; Savannah, Georgia; Kentucky; Washington; Bowling Green, Kentucky; San Antonio, Texas; Phoenix, Arizona; Columbus, Georgia Job ID 2032196JOB 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.
Pay Range: $77,969 - $142,549 / 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: 06/09/2025ABOUT OUR LOCATION
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