Molina Healthcare

Manager, Actuarial Services - REMOTE

Molina Healthcare$110K — $130K *
US-AnywhereRemote in Long Beach, CA
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years of actuarial experience or equivalent education and experience.
  • 1+ year of management or leadership experience.
  • ASA and MAAA certifications required.
  • Bachelor's degree in actuarial science, mathematics, statistics, economics, or a related field.
  • Subject matter expertise in at least one actuarial discipline (pricing, reserving, risk adjustment, etc.).
  • Advanced knowledge of statistics and predictive analytics.

Responsibilities

  • Review actuarial reports for methodological consistency and appropriateness.
  • Collaborate with operational and finance teams to identify risks and propose solutions.
  • Oversee maintenance of risk adjustment models and evaluate their results.
  • Design and conduct actuarial studies on risk adjustment calculations.
  • Support ad-hoc projects regarding rate adequacy and financial projections.
  • Hire, train, mentor, and lead actuarial staff with technical guidance.
  • Stay updated on actuarial developments and industry trends.

Benefits

  • Competitive benefits package offered.
  • Opportunities for ongoing professional development.
  • Support for maintaining actuarial certifications through training programs.
Full Job Description
Job Description

JOB DESCRIPTION

Job Summary

Leads and manages team responsible for subject matter expertise in Medicaid risk adjustment in multiple states. Activities include extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities; also supports analysis and reporting to operational and finance partners.

Essential Job Duties
• Reviews reporting prepared by actuarial team to assure consistency and appropriateness of methodologies used.
• Collaborates with operational and finance teams to identify risks and develop solutions.
• Oversees the maintenance of risk adjustment models and evaluation of results.
• Designs and performs actuarial studies related to risk adjustment calculations and accuracy.
• Supports ad-hoc projects related to rate adequacy, financial projections, and intervention program strategy.
• Hires, onboards, trains, mentors, manages and provides technical guidance and leadership to actuarial staff.
• Stays abreast of actuarial professional developments and industry trends.

Required Qualifications
• At least 7 years of actuarial experience, or equivalent combination of relevant education and experience.
• At least 1 year of management/leadership experience.
• Associate in Society of Actuaries (ASA) and Member of American Academy of Actuaries (MAAA).
• Bachelor's degree in actuarial, mathematics, statistics, economics or related field.
• Demonstrated subject matter expertise in at least one actuarial function (pricing, reserving, risk adjustment, analytics, modeling, etc.)
• Ability to justify actuarial judgements with well- supported and/or well-reasoned arguments.
• Ability to provide insights to leadership based on actuarial review.
• 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.

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.

About Molina Healthcare

Molina Healthcare focuses exclusively on government-sponsored health care programs for families and individuals who qualify for government-sponsored health care. It 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 Careers

Join the dedicated team at Molina Healthcare, a leader in providing quality healthcare services to families and individuals who qualify for government-sponsored programs, including Medicaid and Medicare. As one of the most respected companies in the health services industry, Molina Healthcare offers unparalleled job opportunities aimed at empowering your career growth and professional development.

Work You’ll Do

At Molina Healthcare, you will engage in meaningful work that directly impacts lives across the country. Our team is committed to innovation in healthcare, ensuring that all members receive the best care possible. By joining us, you will collaborate with skilled professionals dedicated to our mission of providing accessible, high-quality healthcare.

Career Opportunities and Growth

Whether you are looking for your first job, seeking a leadership role, or aiming to specialize in healthcare professions, Molina Healthcare offers a range of career paths. Our job opportunities span across various functions, including clinical services, customer support, IT, project management, and more. We believe in fostering the growth of our employees through professional development, leadership training, and diversity initiatives.

Internship Programs

Kickstart your career with a Molina Healthcare internship. Our internships provide invaluable workplace experience, offering a glimpse into the healthcare industry through hands-on projects and mentorship. Interns at Molina Healthcare gain critical skills that prepare them for future employment, making them competitive candidates in the job market.

Culture and Benefits

Molina Healthcare is not just a company; it’s a community. We prioritize a culture of inclusivity and respect, where all team members are encouraged to bring their whole selves to work. Our employees enjoy comprehensive benefits, including health insurance, retirement plans, and wellness programs, all designed to support both their professional and personal lives.

Join Our Team

Explore the various positions available at Molina Healthcare and find where your skills and interests align with our needs. We are continuously hiring talented individuals who are passionate about making a difference in healthcare. Prepare your resume, sharpen your interview skills, and become part of a team that values hard work and creativity.

Stay Connected

Keep up to date with the latest at Molina Healthcare: - **Career Growth and Networking:** Advance your career through our professional development and networking opportunities. Learn from leaders and peers alike to build connections that propel your career forward. - **Innovation and Leadership:** Drive change and lead with confidence by participating in our leadership and innovation training programs.

Apply Now

Ready to take the next step in your healthcare career? Search open positions that match your skills and interests on the Molina Healthcare Jobs portal. We look for driven, curious, and compassionate team players ready to make an impact.

Stay Informed

Subscribe to Molina Healthcare job alerts and receive updates on new openings and company news directly to your inbox. Tailor your subscription to match your career preferences and stay ahead in the dynamic field of healthcare. Join Molina Healthcare, where your career is nurtured, your contributions are valued, and your growth is guaranteed.
Learn more about Molina Healthcare
Size
14,000 employees
Market Cap
$19.5 billion
Industry
Net Income
$673 million
Founded
1980
5 Year Trend
+9.3%
Revenue
$19.4 billion
NASDAQ

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