Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare; Atlanta (GA); Remote; USD 77,000 - 140,000; Full time

Job summary

A healthcare organization in Atlanta seeks a professional responsible for Medicare risk adjustment estimates and financial analysis. You will collaborate with actuarial teams, analyze risks, and maintain SQL models. Candidates should have a Bachelor's degree in Mathematics, Statistics, or Economics, along with experience and passed actuarial exams. Competitive salary range of $77,969 - $140,000 annually offered.

Qualifications

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

Responsibilities

• Collaborate with Actuarial staff to calculate estimates.
• Analyze results related to risk scores.
• Design and maintain risk score models.
• Generate reports for financial decision-making.

Skills

Risk analysis

Data analysis

SQL

Financial reporting

Education

Bachelor's Degree in Mathematics, Statistics, or Economics

Job description

JOB DESCRIPTION

Job Summary

Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.

KNOWLEDGE/SKILLS/ABILITIES

• Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions.

• Analyze results to identify early signs of trends or other issues related to risk scores.

• Design and maintain risk score models.

• Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting.

• Extract and compile information from various systems to support executive decision-making.

• Research and develop reports and analysis for senior management; effectively communicate results.

• Assist in the preparation of forecasts/bids/filings related to risk adjustment.

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 - $140,000 / ANNUAL

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