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Actuarial Consultant (Medicaid/Finance & Actuarial) - REMOTE

Role overview

Qualifications

  • At least 5 years of actuarial experience, or equivalent combination of education and experience.
  • At least 4 passing Society of Actuaries (SOA) exams.
  • Bachelor’s degree in actuarial, mathematics, statistics, economics or related field.
  • Advanced understanding of statistics/predictive analytics.

Responsibilities

  • Performs incurred but not reported (IBNR) estimates and rate adequacy studies, and documents assumptions.
  • Oversees the creation of actuarial opinions, rate issue letters, and other related state reporting requirements.
  • Designs and performs actuarial studies related to medical care costs and trends.
  • Supports ad-hoc projects related to rate filings, new business development, financial projections, budgeting, and acquisitions.

Key facts

Other skills

  • Microsoft Excel
  • Problem Solving
  • Critical Thinking
  • Detail Oriented
  • Time Management
  • Communication

About the company

Molina Healthcare logo

Molina Healthcare

Health Insurance (Payers)

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

JOB DESCRIPTION Job Summary

Provides subject matter expert level consultant expertise for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks.  Estimates liabilities, establishes premium rates, and supports financial analysis and reporting.

 

Essential Job Duties

• Performs incurred but not reported (IBNR) estimates and rate adequacy studies, and documents assumptions.  
• Oversees the creation of actuarial opinions, rate issue letters, and other related state reporting requirements.
• Designs and performs actuarial studies related to medical care costs and trends.
• Supports ad-hoc projects related to rate filings,  new business development, financial projections,  budgeting, and acquisitions.
• Reviews reporting prepared by others to assure consistency and appropriateness of methodologies used.  
• Interprets results and recommends solutions to identified issues.
• Stays abreast of actuarial professional developments and industry trends.

 

Required Qualifications
• At least 5 years of actuarial experience, or equivalent combination of relevant education and experience.
• At least 4 passing Society of Actuaries (SOA) exams.
• 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.
• Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Strong 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.
 

Preferred Qualifications

• Associate of the Society of Actuaries (ASA).  
 

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To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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Marcus Rivera

Chief Revenue Officer

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