Talent.com
Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE
Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTEMolina Healthcare • Warren, MI, United States
serp_jobs.error_messages.no_longer_accepting
Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare • Warren, MI, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

JOB DESCRIPTION

Job Summary

Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain / update SQL model(s), estimate risk scores, and analyze impact.

KNOWLEDGE / SKILLS / ABILITIES

Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions.

Analyze results to identify early signs of trends or other issues related to risk scores.

Design and maintain risk score models.

Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting.

Extract and compile information from various systems to support executive decision-making.

Research and develop reports and analysis for senior management; effectively communicate results.

Assist in the preparation of forecasts / bids / filings related to risk adjustment.

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.

#PJCorp

#LI-AC1

Pay Range : $77,969 - $140,000 / ANNUAL

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

Senior Actuarial Analyst • Warren, MI, United States

Job_description.internal_linking.related_jobs
Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

Blue Cross and Blue Shield of North Carolina • Detroit, MI, United States
serp_jobs.job_card.full_time
The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. Investigations are confidential and are co...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Actuarial Analyst II

Actuarial Analyst II

The Auto Club Group • Dearborn, MI, United States
serp_jobs.job_card.full_time
It's a great time to join AAA The Auto Club Group!.JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD.Actuarial Analyst II - The Auto Club Group. Depending on team, assignment develops pricing a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Risk Mitigation Analyst

Senior Risk Mitigation Analyst

General Motors • Warren, MI, US
serp_jobs.job_card.full_time
Supply Chain Risk Mitigation Manager.In Customer Care and Aftersales (CCA) Supply Chain, we're looking for bold thinkers and creative problem solvers who thrive in ambiguity and are driven to make ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Risk Analyst

Risk Analyst

NorthPoint Search Group • Detroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Risk Analyst – Detroit Who : .A growing auto finance company building out its credit risk team.Analyze and forecast repossessions, origination risks, servicing exposure, and overall credit perf...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30
Clinical Research Contracts Lead / Contract Analyst II - ICON Strategic Solutions

Clinical Research Contracts Lead / Contract Analyst II - ICON Strategic Solutions

ICON Strategic Solutions • windsor, on, ca
serp_jobs.job_card.full_time
ICON plc is a world-leading healthcare intelligence and clinical research organization.We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join u...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Imaging Analyst II (REMOTE)

Imaging Analyst II (REMOTE)

Trinity Health • Livonia, Michigan, USA
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Provides primary responsibility for the technical administration of digital imaging information systems and technologies and the day-to-day support of users of these systems and technologies.Repres...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Research Contracts Lead / Contract Analyst II - windsor

Clinical Research Contracts Lead / Contract Analyst II - windsor

ICON Strategic Solutions • windsor, on, ca
serp_jobs.job_card.full_time
ICON plc is a world-leading healthcare intelligence and clinical research organization.We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join u...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Statistical Analyst - Tigermed

Statistical Analyst - Tigermed

Tigermed • windsor, on, ca
serp_jobs.job_card.full_time
Collaborate with statisticians and data managers to ensure data accuracy and consistency.Support ad-hoc data requests, clinical data reviews, and data validation activities.Continuously improve pro...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Analyst

Senior Analyst

Technomics • Troy, MI, US
serp_jobs.job_card.full_time
Technomics is a growing employee-owned, decision analytics company that specializes in cost and economic analysis to facilitate. We enable a wide range of clients across the Federal government, from...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Analyst / Senior Analyst, External Reporting

Analyst / Senior Analyst, External Reporting

Credit Acceptance • Southfield, MI, United States
serp_jobs.job_card.full_time
Credit Acceptance is proud to be an award-winning company with local and national workplace recognition in multiple categories! Our world-class culture is shaped by dedicated Team Members who share...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Research Contracts Lead / Contract Analyst II

Clinical Research Contracts Lead / Contract Analyst II

ICON Strategic Solutions • windsor, on, ca
serp_jobs.job_card.full_time
ICON plc is a world-leading healthcare intelligence and clinical research organization.We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join u...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Actuarial Analyst

Senior Actuarial Analyst

AAA Life Insurance Company • Livonia, MI, United States
serp_jobs.job_card.full_time
We are seeking a highly skilled and motivated Senior Actuarial Analyst to join our Valuation Team.In this role, you will be responsible for supporting the companys financial reporting and reserve a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Risk Research Specialist I - Hybrid in Michigan ONLY

Risk Research Specialist I - Hybrid in Michigan ONLY

Credibly • Southfield, MI, US
serp_jobs.job_card.full_time
We believe in small businesses and the people who grow them.At Credibly, we leverage cutting-edge data science, technology, partner relations, and customer support to provide business owners with a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Consulting Actuary - Medicare Risk Adjustment

Consulting Actuary - Medicare Risk Adjustment

Blue Cross and Blue Shield of North Carolina • Detroit, MI, United States
serp_jobs.job_card.full_time
As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through data-driven insights and strategic actuarial expertise.You'll lea...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Compensation & Reporting Analyst

Senior Compensation & Reporting Analyst

OneStream Software • Birmingham, MI, United States
serp_jobs.job_card.full_time
Senior Compensation & Reporting Analyst.Range applies to US candidates only) + Benefits / Variable Comp / Equity - Range may vary based on experience. Vision, Medical, Life, Dental, 401K.OneStream is lo...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Analyst, Risk Management

Analyst, Risk Management

USA Jobs • Detroit, MI, US
serp_jobs.job_card.full_time
Pharmacy And Professional Liability Risk Analyst.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about t...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Actuary

Actuary

TradeJobsWorkForce • 48309 Rochester Hills, MI, US
serp_jobs.job_card.full_time
Compile statistical data and other information for further analysis Estimate the probability and likely economic cost of an event such as death, sickness, an accident, or a natural disaster Design,...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Actuarial / Underwriting Analytics Specialist (Commercial P&C)(Hybrid or Remote)

Actuarial / Underwriting Analytics Specialist (Commercial P&C)(Hybrid or Remote)

Amerisure • Novi, MI, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Underwriting Analytics Specialist.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's promise to our partner...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Regional Manager, Clinical Documentation Integrity (Remote)

Regional Manager, Clinical Documentation Integrity (Remote)

Trinity Health • Livonia, MI, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Clinical Documentation Integrity Manager.Responsible for directing Clinical Documentation Integrity (CDI) activities for the Health Ministries (HM) in their defined region and day-to-day management...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Healthcare Finance / Reimbursement Analyst / Full Time / Remote

Senior Healthcare Finance / Reimbursement Analyst / Full Time / Remote

Henry Ford Hospital • Detroit, MI, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
General Summary : Compiles data and completes analysis related to net revenue calculations, third party cost reports and audits and various other reimbursement projects. Principal Duties And Responsi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted