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.
Job Tags
Work experience placement, Remote work,
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