Actuarial Analyst
3 weeks ago
JOB DESCRIPTION
Job Summary
Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.
KNOWLEDGE/SKILLS/ABILITIES
- Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions.
- Analyze results to identify early signs of trends or other issues related to medical care costs.
- Design and perform actuarial studies related to medical care costs and trends.
- Generate and distribute routine reports to support IBNR 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 claim experience reports, rate models, and state regulatory reports.
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.
-
Actuarial Analyst
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with the KY Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting. This is...
-
Actuarial Analyst
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting....
-
Actuarial Analyst
1 week ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....
-
Actuarial Analyst
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...
-
Actuarial Analyst
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....
-
Actuarial Analyst
3 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...
-
Actuarial Analyst
4 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting....
-
Actuarial Analyst
1 week ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....
-
Sr Actuarial Analyst
3 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions....
-
Associate Actuarial Analyst
3 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIES Support the development of the IBNR estimates and rate adequacy studies. Document assumptions. Analyze results...
-
Financial Analyst, Consultant
3 days ago
Long Beach, United States Blue Shield of California Full timeYour RoleThe Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team.The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager.In this role, you will work closely and collaborate with other stakeholders...
-
Financial Analyst, Consultant
7 days ago
Long Beach, California, United States Blue Shield of California Full timeYour RoleThe Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team.The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager.In this role, you will work closely and collaborate with other stakeholders...
-
Financial Analyst, Consultant
7 days ago
Long Beach, United States Blue Shield of California Careers Full timeYour RoleThe Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager. In this role, you will work closely and collaborate with other stakeholders...
-
Sr Analyst, Healthcare Analytics
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...
-
Sr Analyst, Healthcare Analytics
4 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...
-
Analyst, Network Strategy, Pricing
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and...
-
Sr. Analyst, Risk Adjustment-Pre Analyst
7 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob Description Job SummaryThe Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special...
-
Sr. Analyst, Risk Adjustment-Pre Analyst
1 week ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob DescriptionJob Summary The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special projects....
-
Analyst, Healthcare Analytics
5 days ago
Long Beach, United States Molina Healthcare Full timeJob Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. KNOWLEDGE/SKILLS/ABILITIES Develop ad-hoc reports...
-
Analyst, Network Strategy, Pricing
2 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and...