• Medicare Risk Adjustment…

    Elevance Health (Cincinnati, OH)
    ​ **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... employment, unless an accommodation is granted as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III** is responsible for completing… more
    Elevance Health (07/18/25)
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  • Senior Actuarial Analyst (Medicaid…

    Molina Healthcare (Columbus, OH)
    …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
    Molina Healthcare (08/01/25)
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  • Senior Actuarial Analyst (Medicare…

    Molina Healthcare (Cincinnati, OH)
    … risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. ... **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting.… more
    Molina Healthcare (07/25/25)
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  • Senior Analyst , Healthcare Analytics…

    Molina Healthcare (Cleveland, OH)
    …Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or… more
    Molina Healthcare (07/17/25)
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  • Risk Adjustment Analyst…

    Molina Healthcare (Dayton, OH)
    **Job Description** **Job Summary** The Analyst , Risk Adjustment -Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics ... support Molina's Prospective and Retrospective Interventions. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
    Molina Healthcare (07/31/25)
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