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Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE
Molina Healthcare Las Cruces, New Mexico; Caldwell, Idaho; Nampa, Idaho; Tacoma, Washington; Rochester, New York; Vancouver, Washington; Sterling Heights, Michigan; Ohio; Iowa City, Iowa; Santa Fe, New Mexico; Grand Rapids, Michigan; Bellevue, Washington; Lincoln, Nebraska; Covington, Kentucky; Yonkers, New York; Grand Island, Nebraska; Salt Lake City, Utah; Chandler, Arizona; Cincinnati, Ohio; Georgia; Wisconsin; Omaha, Nebraska; Layton, Utah; New York; Iowa; Cleveland, Ohio; Owensboro, Kentucky; West Valley City, Utah; Idaho Falls, Idaho; Provo, Utah; Milwaukee, Wisconsin; Buffalo, New York; Meridian, Idaho; Warren, Michigan; Columbus, Georgia; Washington; Texas; Jacksonville, Florida; Phoenix, Arizona; Albany, New York; Boise, Idaho; Savannah, Georgia; Atlanta, Georgia; Miami, Florida; Mesa, Arizona; Tampa, Florida; Roswell, New Mexico; Kearney, Nebraska; Florida; St. Petersburg, Florida; Racine, Wisconsin; Akron, Ohio; Kentucky; San Antonio, Texas; Scottsdale, Arizona; Houston, Texas; Fort Worth, Texas; Utah; Bowling Green, Kentucky; Madison, Wisconsin; Bellevue, Nebraska; Green Bay, Wisconsin; Orlando, Florida; Lexington-Fayette, Kentucky; Rio Rancho, New Mexico; Columbus, Ohio; Davenport, Iowa; Albuquerque, New Mexico; Spokane, Washington; Everett, Washington; Austin, Texas; Cedar Rapids, Iowa; Augusta, Georgia; Dallas, Texas; Louisville, Kentucky; Des Moines, Iowa; Tucson, Arizona; New Mexico; Ann Arbor, Michigan; Dayton, Ohio; Michigan; Idaho; Orem, Utah; Sioux City, Iowa; Detroit, Michigan; Macon, Georgia; Kenosha, Wisconsin; Nebraska; Syracuse, New York Job ID 2032649JOB DESCRIPTION
Job Summary
Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.
KNOWLEDGE/SKILLS/ABILITIES
- Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions.
- Analyze results to identify early signs of trends or other issues related to risk scores.
- Design and maintain risk score models.
- Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting.
- Extract and compile information from various systems to support executive decision-making.
- Research and develop reports and analysis for senior management; effectively communicate results.
- Assist in the preparation of forecasts/bids/filings related to risk adjustment.
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
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.
#PJCorp
#LI-AC1
Pay Range: $77,969 - $140,000 / 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 07/23/2025Job Alerts
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