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**
1-2 Years
**Required License, Certification, Association**
Must have passed at least 2 actuarial exams.
**Preferred Experience**
3-4 Years
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.
\#PJCorp
\#LI-AC1
Pay Range: $77,969 - $117,809 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Tags
Work experience placement, Remote work,
Similar Jobs
The Growing Tree
...within the first 12 months of employment. Any addtional trainings are a plus. And Must pass a criminal background check & fingerprinting through the VT Child Care Development Division Infant/Child First Aid & CPR Certified or willing to take upon hire....
Freddy's Frozen Custard & Steakburgers
We are looking for great leaders to lead our squad in our NEW LOCATION IN CINNAMINSON, NJ Join the Freddy's Family! Are you ready to bring the Freddy's magic to life? We're on the lookout for enthusiastic team members who thrive in a fast-paced, fun environment. From...
Nachhilfeunterricht
...No prior experience is required to apply for this position, only the completion of compulsory higher education. Whether you prefer working from home or at the students residence, youll have the opportunity to significantly contribute to their academic achievements. If...
Compass Group
...contributions are valued and growth, development, and impact are part of every role. Job Summary We are seeking a Clinical Dietitian (FT, PT or PRN-hours) to join our Nutrition Team in an acute care medical center in City, State. Key Responsibilities:...
Global Risk Solutions Inc
An established industry player is seeking a highly trained Unarmed Residential Security Officer to provide essential security services in residential areas. This role involves monitoring premises, conducting patrols, and ensuring a secure environment for residents. The...