JOB DESCRIPTION

Job Summary

The role is responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina Marketplace ACA individual market pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional role that blends standard actuarial modeling, medical economics, and financial reporting and analytics.

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

Programming (Databricks/SQL) experience

 

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.