Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE

Molina Healthcare; Austin (TX); Remote; USD 77,000 - 142,000; Full time

Job summary

A leading healthcare organization in Austin seeks a Subject Matter Expert for Medicaid risk adjustment programs. The role involves maintaining risk adjustment models and analyzing data to identify risks. Candidates should have a Bachelor's Degree in Mathematics, Statistics, or Economics, with a preference for those with actuarial experience. Compensation ranges from $77,969 to $141,371 annually, based on experience and education.

Benefits

Competitive benefits and compensation package

Qualifications

• 1-2 years relevant experience required.
• Must have passed at least 2 actuarial exams.
• Preferred 3-4 years of related experience.

Responsibilities

• Maintain risk adjustment model and estimate risk scores.
• Analyze data to identify risks and trends.
• Lead actuarial studies and present findings.

Skills

Analyze risk score results

Calibrate risk adjustment models

Develop actuarial studies

Generate routine reports

Identify opportunities for improvement

Education

Bachelor's Degree in Mathematics, Statistics, or Economics

Job description

Overview

JOB DESCRIPTION

Responsible 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 accordingly

Job Qualifications

Required Education

Bachelor's Degree in Mathematics, Statistics, or Economics

Required Experience

1-2 Years

Required License, Certification, Association

Must have passed at least 2 actuarial exams.

Preferred Experience

3-4 Years

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 - $141,371 / ANNUAL

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