JOB DESCRIPTION

　　Job Summary

　　Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Additional leadership opportunity is available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required.

　　KNOWLEDGE/SKILLS/ABILITIES

　　Analyze risk score results - calculate financial impact and identify drivers

　　Calibrate risk adjustment models based on state programs

　　Develop and lead actuarial studies related to risk scores and present findings to leadership.

　　Generate and present risk score reporting to support operations

　　Identify opportunities for improvement in risk adjustment programs and develop advocacy accordingly

　　JOB QUALIFICATIONS

　　Required Education

　　Bachelor's Degree in Mathematics, Statistics, or EconomicsRequired Experience

　　2-4 YearsRequired License, Certification, Association

　　Must have passed at least 3 actuarial exams.Preferred Experience

　　5-6 Years of actuarial experience

　　SQL or other programming proficiency

　　Strong verbal and written communication skills

　　Preferred License, Certification, Association

　　ASA or near ASAPay Range: $65,791.66 - $142,548.59 / ANNUAL

　　*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.