- Molina Healthcare (Atlanta, GA)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES**...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- CVS Health (Atlanta, GA)
- …and making sound, unbiased reports on these issues. **A Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs ... **Position Summary** Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs… more