This individual contributor is primarily responsible for providing support the California Medicaid line of business through the development and enhancement of actuarial models, methodologies, and analytical tools that drive sound financial and operational decision-making. Maintain accountability for medical cost projections, revenue evaluations, and regulatory rate analyses. Perform data extraction, transformation, and loading across multiple source systems to ensure clean, reliable inputs for analytical and reporting processes. Deliver data-driven insights through financial reporting, trend monitoring, utilization studies, forecasting, and risk assessment to support strategic initiatives, regulatory compliance, and the long-term financial sustainability of the Medicaid program.
Job Summary:

This individual contributor is primarily responsible for providing support for researching and determining the likelihood of financial risk to the organization, reviewing actuarial doc...