Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare; Davenport (IA); Remote; USD 77,000 - 140,000; Full time

Job summary

A healthcare organization in Davenport, IA, seeks an analytical professional to manage Medicare risk adjustment tasks. Responsibilities include data extraction, financial analysis, and collaboration with Actuarial staff. Candidates must possess a Bachelor's Degree in Mathematics, Statistics, or Economics, and have passed at least 3 actuarial exams. This role offers competitive salary and benefits.

Qualifications

• Minimum 2-4 years of related experience in actuarial analysis.
• Must have passed at least 3 actuarial exams.
• Preferred 5-6 years of experience.

Responsibilities

• Analyze Medicare risk adjustment estimates and financial reporting.
• Collaborate with Actuarial staff to calculate risk adjustment payments.
• Maintain and update SQL models for risk scores.

Skills

Data analysis

SQL

Financial reporting

Risk assessment

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

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.