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Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Lensa
Owensboro, KY Remote Full Time
POSTED ON 9/26/2025
AVAILABLE BEFORE 10/26/2025
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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.

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.

Pay Range: $77,969 - $140,000 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

If you have questions about this posting, please contact support@lensa.com

Salary : $77,969 - $140,000

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