What are the responsibilities and job description for the Senior Actuarial Analyst (Medicare 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 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
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.
Pay Range: $77,969 - $140,000 / ANNUAL
Job 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.
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.
Pay Range: $77,969 - $140,000 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Salary : $77,969 - $140,000