Senior Actuarial Analyst (Risk Adjustment) - REMOTE

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

Job summary

Molina Healthcare seeks a Subject Matter Expert for its Medicaid risk adjustment program in Jacksonville. This role involves maintaining valuation models, analyzing data to support executive decision-making, and collaborating with various teams on actuarial studies. A Bachelor's degree in a relevant field and actuarial exam completion are required, making this an essential position with significant responsibilities.

Benefits

Competitive benefits and compensation package

Equal Opportunity Employer (EOE)

Qualifications

• Bachelor's Degree in Mathematics, Statistics, or Economics required.
• 2-4 Years experience in relevant field; preferred 5-6 Years.
• Must have passed at least 3 actuarial exams.

Responsibilities

• Maintain SQL/Databricks models for Medicaid risk adjustment program.
• Collaborate on actuarial studies and document methodologies.
• Analyze and communicate results to support decision-making.

Skills

SQL

Databricks

Data Analysis

Actuarial Studies

Communication

Education

Bachelor's Degree in Mathematics, Statistics, or Economics

Tools

Databricks

Job description

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.