All roles

Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE

Remote · USA Full-time New today

JOB DESCRIPTION

Job Summary

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to reputed company national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.

KNOWLEDGE/SKILLS/ABILITIES

  • Analyze risk score results – calculate financial impact and identify trends or other issues reputed company to risk scores.
  • Calibrate risk adjustment models based on state programs
  • reputed company and reputed company actuarial studies reputed company 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 reputed company advocacy accordingly

JOB QUALIFICATIONS

Required Education

Bachelor's Degree in Mathematics, Statistics, or Economics

Required Experience

1-2 Years

Required License, Certification, Association

Must have passed at least 2 actuarial exams.

Preferred Experience

3-4 Years

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.

Originally posted on Himalayas

Apply To this Job

Related roles

Virtual Weight Management MD/DO

Remote · USA Full-time

reputed company Operations Analyst

Remote · USA Full-time

Product Marketing Manager

Remote · USA Full-time

Clinical Trial Coordinator (Finance) - Paris, France (Hybrid) - FSP

Remote · USA Full-time

The North Face: District Manager (Mid-Atlantic)

Remote · USA Full-time

Enterprise Account Executive

Remote · USA Full-time

Senior Statistical Programmer FSP

Remote · USA Full-time

Sales Representative BC - Hackensack, NJ

Remote · USA Full-time

Manager, Product Analytics and Insights

Remote · USA Full-time

Loss Control Representative Insurance Inspections - reputed company, MN

Remote · USA Full-time

Customer Solutions Specialist – Remote Full‑Time Role (11:30 AM – 8 PM EST) – Customer Experience, Support & Problem‑Solving at arenaflex

Remote · USA Full-time

Managing Consultant – Utility Business Transformation

Remote · USA Full-time

Claims Customer Care Specialist

Remote · USA Full-time

Leave Administrator

Remote · USA Full-time

reputed company Remote Licensed Insurance Customer Service Representative – Launch Your Career with blithequark

Remote · USA Full-time

reputed company Remote Full-Time Data Entry Specialist – Accurate and Efficient Data Management for a Sustainable Future

Remote · USA Full-time

reputed company Ads Specialist – High-Performance Coaching Company/Fractional CMO position

Remote · USA Full-time

Retail Sales Associate (Part-Time)

Remote · USA Full-time

reputed company Full-Time Remote Chat Support Representative – Delivering Exceptional Customer Service from the Comfort of Your Own Home with blithequark

Remote · USA Full-time

Provider Enrollment Analyst / Credentialing, fully remote – Start Date February 12th

Remote · USA Full-time