• Mgr, Actuarial Svcs (Marketplace) - REMOTE

    Molina HealthcareProvo, UT 84605

    Job #2818345091

  • 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:

    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.