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
Herman N Logistics
...solo drivers and trainees! Automatic trucks, 3 zone roll door reefers and dry trailers. REGIONAL! NIGHTS AND WILL WORK WEEKENDS ! WALMART ACCOUNT 1400 to 1800 a week. NO TOUCH FREGHT !(***) ***-**** to apply QUALIFICATIONS Work History: Less than 2 jobs in the last...
Conservation Legacy: Stewards Individual Placements
...increase access to the outdoors for everyone. Our health, our planet, and our collective future rely on diversityin thought, ability, experience, and ideas. That's why we need YOU. Become a Youth Empowerment Steward (YES) intern and help make the outdoors more accessible...
111 SKIN SPA/CLINIC at The Plaza Hotel
...COMPANY OVERVIEW Trilogy Spa Holdings is a professional spa management company dedicated to creating and operating the most innovative, service-centric, and performance-optimized branded spas in the hospitality industry. We currently operate spas in Arizona, California...
Wetzel Estate Winery Wetzel Estate Winery
...Job Description: Assistant Winemaker Job Description: Established Willamette Valley winery seeks experienced and ambitious assistant winemaker. Responsible for all aspects of winemaking in a hands-on role. Assistant winemaker will work directly with Winemaker...
Advocate Aurora Health
...: Major Responsibilities: Uses the nursing process to provide ongoing care (assess,... ...patient as directed. Performs advanced clinical tasks or skills such as removal of... ...Registration, and/or Certification Required: Registered Nurse license issued by the state in...