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Actuarial Analyst (Medicare) - Remote

Posted 6 weeks ago
Finance / Legal
Full Time
CA, USA

Overview

The Actuarial Analyst (Medicare) is responsible for estimating liabilities, establishing premium rates, and conducting financial analysis and reporting. The role involves extracting, analyzing, and synthesizing data to identify risks in medical care costs.

In Short

  • Estimate liabilities and establish premium rates.
  • Conduct financial analysis and reporting.
  • Collaborate with Actuarial staff for IBNR estimates.
  • Analyze results to identify trends in medical care costs.
  • Design and perform actuarial studies.
  • Generate reports for IBNR calculations and pricing.
  • Compile information to support executive decisions.
  • Research and develop reports for senior management.
  • Assist in preparation of claim experience reports.
  • Must have passed at least 2 actuarial exams.

Requirements

  • Bachelor's Degree in Mathematics, Statistics, or Economics.
  • 1-2 years of relevant experience required.
  • 3-4 years of preferred experience.
  • Effective communication skills for reporting results.
  • Ability to collaborate with teams.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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