Note: The job is a remote job and is open to candidates in USA. Molina Healthcare is a company that provides healthcare services, and they are seeking an Associate Analyst for Medicaid risk adjustment. The role involves analyzing risk scores, calibrating models, and developing studies to support financial reporting and program improvement.
Responsibilities
- Analyze risk score results to calculate financial impact and identify trends or other issues related to risk scores
- Calibrate risk adjustment models based on state programs
- Develop 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 assist in advocacy development accordingly
Skills
- Up to 1 year of actuarial experience, or equivalent combination of relevant education and experience
- At least 1 passing Society of Actuaries (SOA) exam
- Bachelor's degree in actuarial, mathematics, statistics, economics or related field
- Advanced understanding of statistics/predictive analytics
- Demonstrated problem-solving skills
- Strong critical-thinking and attention to detail
- Ability to effectively collaborate with technical and non-technical stakeholders
- Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines
- Effective verbal and written communication skills
- Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency
- Actuarial internship
Company Overview
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