Actuarial Analyst (Risk Adjustment) - REMOTE jobs in United States
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Molina Healthcare · 5 months ago

Actuarial Analyst (Risk Adjustment) - REMOTE

positionUnited States
timeFull-time
remoteRemote
seniorityEntry Level
date1+ years exp

Molina Healthcare is a company focused on Medicaid risk adjustment programs, and they are seeking an Actuarial Analyst to be the Subject Matter Expert in this area. The role involves maintaining risk adjustment models, analyzing data, and leading actuarial studies to inform leadership and improve programs.

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H1B Sponsor Likelynote

Responsibilities

Analyze risk score results – calculate financial impact and identify trends or other issues related to risk scores
Calibrate risk adjustment models based on state programs
Develop and lead actuarial studies related to risk scores and present findings to leadership
Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting
Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly

Qualification

Risk adjustment modelingData analysisActuarial studiesMathematicsStatisticsEconomicsReport generationTrend identificationAdvocacy developmentActuarial examsLeadership

Required

Bachelor's Degree in Mathematics, Statistics, or Economics
1-2 Years
Must have passed at least 2 actuarial exams

Preferred

3-4 Years

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

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Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
dateFounded in 1980
location
Long Beach, California, USA
people-size10001+ employees
web-link
https://investors.molinahealthcare.com/

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)

Funding

Current Stage
Public Company
Total Funding
$2.35B
2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M

Leadership Team

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Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
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Debbie Simkins
Vice President, Office of the CIO
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Recent News

Hartford Business Journal
Some ConnectiCare customers report enrollment, billing problems
2026-01-14
Sherwood News
Insurers rise as House tees up ACA extension vote
2026-01-09
Business Wire
Molina Healthcare of Washington Announces $75,000 Grant to the Seattle Indian Health Board to Support Completion of Thunderbird Treatment Center
2026-01-06
Company data provided by crunchbase