Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare; Everett (WA); Remote; USD 77,000 - 140,000; Full time

Job summary

A leading healthcare organization in Everett, WA is seeking a professional responsible for Medicare risk adjustment estimates and financial analysis. The ideal candidate will have a bachelor's degree in a relevant field and experience in actuarial work. You will collaborate with staff to design models, generate reports and ensure accurate financial forecasting. This role offers competitive compensation ranging between $77,969 - $140,000 annually.

Benefits

Competitive benefits package

Equal Opportunity Employment

Qualifications

• 2-4 years of experience in finance or actuarial science.
• Must have passed at least 3 actuarial exams.
• Preferred 5-6 years of experience and ASA certification.

Responsibilities

• Calculate risk adjustment payment estimates.
• Analyze trends related to risk scores.
• Design and maintain risk score models.
• Generate reports supporting financial decisions.

Skills

Collaboration with actuarial staff

Financial analysis

Data analysis

Statistical modeling

Report generation

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.