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Senior Actuarial Analyst (Medicare) - Remote

Posted 12 weeks ago
Finance / Legal
Full Time
Worldwide

Overview

The Senior Actuarial Analyst (Medicare) is responsible for estimating liabilities, establishing premium rates, conducting financial analysis, and reporting. The role involves extracting, analyzing, and synthesizing data from various sources to identify risks.

In Short

  • Collaborate with Actuarial staff for IBNR estimates and rate adequacy studies.
  • Analyze results to identify trends related to medical care costs.
  • Design and perform actuarial studies on medical care costs and trends.
  • Create reports to support IBNR calculations and financial reporting.
  • Compile information from various systems for executive decision-making.
  • Research and develop reports for senior management.
  • Prepare claim experience reports and state regulatory reports.
  • Communicate results and recommend solutions effectively.
  • Must have passed at least 3 actuarial exams.
  • Bachelor's Degree in Mathematics, Statistics, or Economics required.

Requirements

  • 2-4 years of relevant experience required; 5-6 years preferred.
  • ASA or near ASA preferred.
  • Strong analytical and problem-solving skills.
  • Ability to communicate complex results clearly.
  • Experience with actuarial software and data analysis tools.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) commitment.

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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