Job Description
Job Description 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 lead 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 related to risk scores. • Calibrate risk adjustment models based on state programs • Develop and lead 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 develop advocacy accordingly 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. Apply tot his job