Mgr, Actuarial Svcs (Marketplace) - REMOTE - Military Veterans
at Molina Healthcare
JOB DESCRIPTION
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
REQUIREDEDUCATION:
Bachelors Degree
REQUIREDEXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
Minimum 6 years of experience in addition to leadership experience
REQUIREDLICENSE,CERTIFICATION,ASSOCIATION:
Must have passed at least 4 actuarial exams.
PREFERREDLICENSE,CERTIFICATION,ASSOCIATION:
ASA or near ASA
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.
#PJCorp
#LI-AC1
Pay Range: $88,453 - $172,484 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve.
We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members.
What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care.
As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care.