Job Summary
We are looking for an adaptable actuary to assist in pricing Molina Marketplace ACA Individual Products. The right candidate should be comfortable working on a product with changing rules and a competitive landscape. You will help analyze market trends, develop basic models, and provide insights to support decision-making. Additional responsibilities may include financial forecasting, supporting network development, and developing product strategy.
Job Duties
- Develop Individual ACA rates, prepare and sign rate filings, and respond to regulator objections
- Demonstrate a strong understanding of ACA risk adjustment concepts
- Monitor financial projections and adapt models to reflect emerging trends and market changes
- Exhibit curiosity and the ability to adapt and understand market trends and changes
- Communication of complex quantitative concepts and recommendations clearly and concisely to stakeholders.
- Mentor and train other actuarial staff
- Additional knowledge and skills may include:
- Design and evaluate plan offerings
- Evaluate competitors and market conditions
- Support the monthly financial forecasting process by assessing appropriate methodologies, making necessary adjustments, and thoroughly reviewing results for reasonableness
- Assist with the monthly accounting accruals process to estimate and book MLR rebates
- Evaluate impact of provider contracting changes
- Review and design SQL databases and queries to support analytical studies
JOB QUALIFICATIONS
REQUIRED EDUCATION:
Bachelor's Degree
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
Minimum 6 years of experience in addition to leadership experience
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
Must have passed at least 4 actuarial exams.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Fellow of the Society of Actuaries, Member of the American Academy of Actuaries
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.
Pay Range: $79,607.91 - $172,483.8 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 09/27/2024
Working at
Molina Healthcare
Molina Healthcare is a leading managed healthcare company dedicated to providing quality healthcare services to underserved communities. With a strong commitment to improving access to care, Molina Healthcare offers a wide range of health insurance plans and solutions. As an actuary at Molina Healthcare, you'll play a crucial role in assessing and managing risks to ensure the financial stability of the company's healthcare offerings. Actuaries at Molina Healthcare utilize their expertise in statistical analysis and risk assessment to develop pricing strategies, analyze healthcare trends, and provide insights that support evidence-based decision-making. Molina Healthcare's focus on serving vulnerable populations and providing cost-effective care creates unique challenges and opportunities for actuaries. Collaborating with cross-functional teams, actuaries at Molina Healthcare analyze complex healthcare data, identify trends, and develop innovative solutions that improve health outcomes while managing costs. Professional growth is highly valued at Molina Healthcare, and actuaries have access to ongoing training and development opportunities. Actuaries can enhance their skills and expertise while contributing to the company's mission of providing quality healthcare to those who need it most. Join Molina Healthcare's esteemed actuarial team and embark on a fulfilling career where you can make a meaningful impact on underserved communities, drive healthcare innovation, and enjoy a supportive work environment.