Senior Actuarial Analyst (Risk Adjustment) - REMOTE

Molina Healthcare; Jacksonville (FL); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization seeks a Senior Actuarial Analyst to serve as a Subject Matter Expert in Medicaid risk adjustment. This remote position involves maintaining valuation models, analyzing data, and supporting executive decision-making. The ideal candidate will have a solid background in mathematics or statistics, experience in data analysis, and several actuarial exams completed.

Qualifications

• Bachelor's Degree in Mathematics, Statistics, or Economics required.
• 2-4 years of relevant experience required.
• Must have passed at least 3 actuarial exams.

Responsibilities

• Responsible for Medicaid risk adjustment program valuation.
• Maintain SQL/Databricks model to estimate valuations and analyze results.
• Extract and analyze data to identify risks and recommend strategies.

Skills

SQL

Databricks

Risk Analysis

Data Synthesis

Statistical Analysis

Actuarial Studies

Education

Bachelor's Degree in Mathematics

Bachelor's Degree in Statistics

Bachelor's Degree in Economics

Tools

Databricks

SQL

Job description

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Join to apply for the Senior Actuarial Analyst (Risk Adjustment) - REMOTE role at Molina Healthcare

Job Summary

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources to identify risks.

Job Description

Job Summary

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources to identify risks.

Knowledge/Skills/Abilities

• Build and maintain risk adjustment valuation models (SQL/Databricks).
• Collaborate with Actuarial & Operations staff to design and perform actuarial studies related to risk adjustment program trends. Document assumptions and methodologies.
• Extract and compile information from various systems to support executive decision-making. Analyze results to identify early signs of trends. Recommend operational strategies to identified issues.
• Design and program reports to support operations and financial reporting.
• Research and develop reports and analysis for senior management; effectively communicate results.
  
  

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

Experience with Databricks

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 - $142,549 / ANNUAL

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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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