JOB DESCRIPTION
Job Summary
Analyzes data for cost savings opportunities and performance improvement initiatives. Research 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 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 of Actuarial experience
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.
United States
