Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE

Remote, USA Full-time
Job DescriptionJOB DESCRIPTIONJob SummaryResponsible 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 accordinglyJOB QUALIFICATIONSRequired EducationBachelor's Degree in Mathematics, Statistics, or EconomicsRequired Experience2-4 YearsRequired License, Certification, AssociationMust have passed at least 3 actuarial exams.Preferred Experience5-6 YearsPreferred License, Certification, AssociationASA or near ASATo 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. Apply tot his job
Apply Now

Similar Jobs

Actuarial Analyst | Combo Plans

Remote, USA Full-time

Sr. Actuarial Analyst (Either ACAS Or FCAS Designation) Remote

Remote, USA Full-time

Government Health Consulting Actuarial Analyst - College Program 2026 3 Locations

Remote, USA Full-time

Senior Actuary - Member Analytics/Population Health (Remote)

Remote, USA Full-time

Actuarial Analyst, Reserving - Professional Lines

Remote, USA Full-time

Actuarial Analyst

Remote, USA Full-time

GuideOne Insurance Associate Actuarial Analyst – Remote Opportunity in GA, United States

Remote, USA Full-time

Actuarial Analyst, ALDP - Fort Worth, TX or Remote

Remote, USA Full-time

Senior Actuarial Analyst/Actuary- US Cyber and Financial Lines

Remote, USA Full-time

[Remote] Actuarial Analyst, Pricing - Remote

Remote, USA Full-time

Assistant Librarian/Archivist

Remote, USA Full-time

Mobile Development Technical Lead Remote W2

Remote, USA Full-time

Product Operations Specialist | Procurement

Remote, USA Full-time

Export Control Officer - Corporate Compliance

Remote, USA Full-time

Senior Analyst Internal Controls - SOX Business Process (REMOTE)

Remote, USA Full-time

Customer Navigator I (08-HR) Days

Remote, USA Full-time

Business Data Journalist /Work from Home/

Remote, USA Full-time

Senior Security Test Engineer /Pentester for Industrial IoT/

Remote, USA Full-time

Manager, Customer Care (Remote) – Solar Project Process Expert

Remote, USA Full-time

Remote Administrative Assistant jobs Jobs in San Antonio, Texas | Remote Work From Home

Remote, USA Full-time
Back to Home