Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare
Chandler, AZ
**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.
Posted 2025-07-25

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