What are the responsibilities and job description for the Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE position at Lensa?
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.
Job 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
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
Job 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
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.
Salary : $77,969 - $141,371