Manager, Actuarial Services (VBC) - REMOTE

Molina Healthcare; Washington (IA); Remote; USD 88,000 - 165,000; Full time

Job summary

An established industry player is seeking a seasoned professional to manage a team focused on value-based contracting. This role involves analyzing contract opportunities, developing terms, and providing performance insights to senior leadership. The ideal candidate will have extensive experience in data analysis and actuarial studies, coupled with strong leadership skills. Join a dynamic environment where your contributions will directly impact the organization's success and drive innovative solutions in healthcare contracting.

Qualifications

• 6+ years of experience in leadership roles with a focus on actuarial functions.
• Proficiency in data synthesis and analysis for contract opportunities.

Responsibilities

• Manage a team supporting value-based contracting and performance reporting.
• Oversee the development of contract terms and perform actuarial studies.

Skills

Data Analysis

Contract Management

Actuarial Studies

Leadership

Financial Projections

Education

Bachelor's Degree

Job description

JOB DESCRIPTION

Job Summary

Manages a team responsible for supporting value-based contracting across the organization, including analysis of contract opportunities, development of contract terms, and performance reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks as well as packaging and delivering the results to senior leadership.

Job Duties

1. Perform analysis of historical cost baselines.
2. Oversee the development of contract terms and document assumptions.
3. Design and perform actuarial studies related to medical care costs and trends.
4. Support ad-hoc projects related to contract analysis, new business development, financial projections, budgeting, and acquisitions.
5. Manage and provide technical guidance and leadership to Actuarial staff.
6. Review reporting prepared by others to ensure consistency and appropriateness of methodologies used. Interpret results and recommend solutions to identified issues.
7. Stay abreast of professional developments and industry trends.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Bachelor’s Degree

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

Minimum 6 years of experience in addition to leadership experience.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

Must have passed at least 4 actuarial exams.

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.

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Pay Range: $88,453 - $165,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.