Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE

Molina Healthcare; Madison (WI); Remote; USD 77,000 - 172,000; Full time

Job summary

A healthcare provider in Madison is seeking a Subject Matter Expert for Medicaid risk adjustment programs. This role involves analyzing risk scores, calibrating models, and leading actuarial studies. The ideal candidate holds a Bachelor's Degree in Mathematics, Statistics, or Economics, and has 2-4 years of experience, along with at least 3 passed actuarial exams. Competitive compensation and benefits are offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 2-4 years of experience in a related field.
• Passed at least 3 actuarial exams.

Responsibilities

• Analyze risk score results and identify issues.
• Calibrate risk adjustment models for different states.
• Develop and lead actuarial studies.

Skills

Data analysis

Model calibration

Actuarial studies

Risk assessment

Education

Bachelor's Degree in Mathematics, Statistics, or Economics

Job description

JOB DESCRIPTION

Job Summary

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

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 - $171,058 / ANNUAL

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