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

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.