Actuarial Consultant (Medicaid/Finance & Actuarial) - REMOTE

Molina Healthcare; United States; On-site; USD 72,370 - 156,803; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an experienced actuarial consultant to provide expert guidance on actuarial activities, including data extraction, analysis, and synthesis to identify risks. This role estimates liabilities, sets premium rates, and supports financial analysis and reporting.

Key responsibilities include IBNR estimates, rate filings support, and actuarial studies of medical costs and trends. Strong exam progress with SOA and solid communication skills are essential.

Qualifications

• At least 5 years of actuarial experience or equivalent education/experience.
• At least 4 passing SOA exams.
• Bachelor's degree in actuarial, mathematics, statistics, economics or related field.
• Advanced understanding of statistics/predictive analytics.
• Demonstrated problem solving skills.
• Strong time management and ability to manage multiple projects.
• Strong verbal and written communication skills.
• Proficient in Microsoft Office, especially Excel (VLOOKUPs and pivot tables).

Responsibilities

• Performs IBNR estimates and rate adequacy studies and documents assumptions.
• Oversees creation of actuarial opinions, rate issue letters, and state reporting requirements.
• Designs and performs actuarial studies related to medical costs and trends.
• Supports ad hoc projects related to rate filings, new business development, budgeting, and acquisitions.
• Reviews reporting to ensure methodologies are appropriate and consistent.
• Interprets results and recommends solutions.
• Keeps abreast of actuarial developments and industry trends.

Skills

Actuarial experience

SOA exams

Statistics / predictive analytics

Problem solving

Critical thinking

Time management

Verbal and written communication

Excel (VLOOKUP, pivot tables)

Education

Bachelor's degree in actuarial, mathematics, statistics, economics or related field

ASA (preferred)

Tools

Excel

Job description

Job Summary

Provides subject matter expert level consultant expertise for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks. Estimates liabilities, establishes premium rates, and supports financial analysis and reporting.

Responsibilities

• Performs incurred but not reported (IBNR) estimates and rate adequacy studies, and documents assumptions.
• Oversees the creation of actuarial opinions, rate issue letters, and other related state reporting requirements.
• Designs and performs actuarial studies related to medical care costs and trends.
• Supports ad-hoc projects related to rate filings, new business development, financial projections, budgeting, and acquisitions.
• Reviews reporting prepared by others to assure consistency and appropriateness of methodologies used.
• Interprets results and recommends solutions to identified issues.
• Stays abreast of actuarial professional developments and industry trends.

Required Qualifications

• At least 5 years of actuarial experience, or equivalent combination of relevant education and experience.
• At least 4 passing Society of Actuaries (SOA) exams.
• Bachelor’s degree in actuarial, mathematics, statistics, economics or related field.
• Advanced understanding of statistics/predictive analytics.
• Demonstrated problem‑solving skills.
• Strong critical‑thinking and attention to detail.
• Strong time‑management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Strong verbal and written communication skills.
• Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.

Preferred Qualifications

• Associate of the Society of Actuaries (ASA).

Pay Range: $72,370.82 - $156,803.45 / ANNUAL

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.