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Senior Actuarial Analyst (Risk Adjustment) - Remote

Posted 5 days ago
Finance / Legal
Full Time
USA

Overview

The Senior Actuarial Analyst is responsible for being the Subject Matter Expert for Medicaid risk adjustment program valuation, maintaining SQL/Databricks models, estimating valuations, and analyzing results.

In Short

  • Build and maintain risk adjustment valuation models using SQL/Databricks.
  • Collaborate with Actuarial & Operations staff on actuarial studies.
  • Extract and compile information to support executive decision-making.
  • Analyze results to identify trends and recommend strategies.
  • Design and program reports for operations and financial reporting.
  • Research and develop reports for senior management.
  • Communicate results effectively.
  • Must have a Bachelor's Degree in Mathematics, Statistics, or Economics.
  • 2-4 years of experience required, with at least 3 actuarial exams passed.
  • Experience with Databricks is preferred.

Requirements

  • Bachelor's Degree in Mathematics, Statistics, or Economics.
  • 2-4 years of relevant experience.
  • At least 3 actuarial exams passed.
  • 5-6 years of experience preferred.
  • Experience with Databricks preferred.
  • ASA or near ASA certification preferred.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) M/F/D/V.

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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