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Sr Actuarial Analyst (Risk Adjustment) - Remote

Molina Healthcare Job ID 2023540
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Job Summary

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Additional leadership opportunity is available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. 


  • Analyze risk score results - calculate financial impact and identify drivers
  • Calibrate risk adjustment models based on state programs
  • Develop and lead actuarial studies related to risk scores and present findings to leadership.
  • Generate and present risk score reporting to support operations
  • Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly


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 of actuarial experience
  • SQL or other programming proficiency¬†
  • Strong verbal and written communication skills

Preferred License, Certification, Association

  • ASA or near ASA

Pay Range: $65,791.66 - $142,548.59 / 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: 12/08/2023


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