JOB DESCRIPTION

Job Summary

The role is responsible for establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina Marketplace ACA individual pricing process by developing rates, creating regulatory filing documents, and addressing regulatory objections. The candidate may lead multiple projects of varying scale and complexity with limited direct supervision

KNOWLEDGE/SKILLS/ABILITIES

Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions. Analyze results to identify early signs of trends or other issues related to medical care costs. Recommend solutions to identified issues. Design and perform actuarial studies related to medical care costs and trends. Design and program reports to support IBNR calculations, pricing, and financial reporting. Extract and compile information from various systems to support executive decision-making; communicate results and recommend solutions to identified issues. Research and develop reports and analysis for senior management; effectively communicate results. Prepare claim experience reports, rate models, and state regulatory reports.

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

Programming (Databricks/SQL) experience

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.