JOB DESCRIPTION

Job Summary
Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources to identify risks.

KNOWLEDGE/SKILLS/ABILITIES

Build and maintain risk adjustment valuation models (SQL/Databricks).
Collaborate with Actuarial & Operations staff to design and perform actuarial studies related to risk adjustment program trends. Document assumptions and methodologies.
Extract and compile information from various systems to support executive decision-making. Analyze results to identify early signs of trends. Recommend operational strategies to identified issues.
Design and program reports to support operations and financial reporting.
Research and develop reports and analysis for senior management; effectively communicate results.

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
Experience with Databricks
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 - $142,549 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Please refer the Job description for details