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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.