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,
Similar Jobs
Inter-Con Security
...security company, providing integrated security solutions to government and commercial customers on four continents. Inter-Con remains... ...property Monitoring equipment deliveries and construction contractor activities Close visual inspections of persons and vehicles...
Priority Dispatch, Inc.
...Medication Courier Driver: Are you looking to supplement your current income? Priority Dispatch is looking for reliable Delivery Drivers to work as Independent Contractors to deliver medications to long-term care facilities in Ohio. Available Shifts: ~ Monday...
Amazon.com Services LLC
...DESCRIPTION Amazon is looking for an experienced risk leader for our Aviation Security Control Center (ASCC) in Erlanger, KY, who has... ...Air's Network Control Center (NCC), reporting to the Senior Manager, ASCC. The ideal candidate will have experience in intelligence...
Lifelancer
...Job Title: Pharma/Healthcare Sales Rep - Seattle Job Location: Seattle, WA,... ...Contract Type: Full-time Job Seniority Level: Entry level Description Tris Pharma,... ...handles all operational aspects of pharmaceutical sales and service including, but not limited...
Perfect Search Media
...About?Perfect Search offers a Remote Digital Marketing Internship program focused on learning pay... ...independently, alongside current full-time analysts on tasks and analysis.This opening... ...candidates may be offered long term, part-time work if available.Apply Now...