JOB DESCRIPTION
Job Summary
Provides entry level support for Medicaid risk adjustment. Responsible for being subject matter expert for risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze and summarize data from various sources to identify risks. Prior experience in Medicaid risk adjustment is not required.
Essential Job Duties
- Analyze risk score results to calculate financial impact and identify trends or other issues related to risk scores
- Calibrate risk adjustment models based on state programs
- Develop actuarial studies related to risk scores and present findings to leadership
- Generate and distribute routine reports to support risk adjustment calculations, pricing and financial reporting
- Identify opportunities for improvement in risk adjustment programs and assist in advocacy development accordingly
Required Qualifications
- Up to 1 year of actuarial experience, or equivalent combination of relevant education and experience.
- At least 1 passing Society of Actuaries (SOA) exam.
- Bachelor's degree in actuarial, mathematics, statistics, economics or related field.
- Advanced understanding of statistics/predictive analytics.
- Demonstrated problem-solving skills.
- Strong critical-thinking and attention to detail.
- Ability to effectively collaborate with technical and non-technical stakeholders.
- Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Effective verbal and written communication skills.
- Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.
Preferred Qualifications
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V