Actuarial Analyst II — Medicare Advantage (Remote)

Alignment Healthcare USA, LLC in; Orange (CA); Remote; USD 78,000 - 117,000; Full time

Job summary

Alignment Health is seeking an Actuarial Analyst II for a remote role, focusing on Medicare Advantage pricing, forecasting, reserving, risk adjustment, bid development, and financial performance management. You will collaborate with Finance, Product, Network, Operations, and risk-adjustment teams to identify financial risks and opportunities.

The role requires 2–4 years of actuarial experience, a bachelor’s degree in a quantitative field, and proficiency with SQL, R, or Python.

Qualifications

• 2–4 years actuarial or quantitative analysis experience.
• Experience with large datasets, financial or actuarial models, and reporting tools.
• Ability to independently organize and complete defined analyses and communicate findings.
• Experience partnering with nontechnical stakeholders to support decisions.

Responsibilities

• Develop and maintain actuarial analyses, models, and reporting that support pricing, forecasting, reserving, risk adjustment, and financial planning decisions.
• Analyze claims, utilization, membership, risk scores, provider performance, and benefit experience to identify financial trends, risks, opportunities, and key drivers.
• Prepare defined components of Medicare Advantage bid submissions, actuarial exhibits, and supporting documentation in accordance with established methodologies and regulatory guidance.
• Perform monthly and quarterly reserve, accrual, and financial-performance analyses; validate results, reconcile data, and explain material variances.
• Evaluate the financial impact of product, benefit, network, operational, and regulatory changes, and communicate implications to business partners.
• Build and improve repeatable actuarial models, tools, dashboards, controls, and documentation using sound data-management, validation, and version-control practices.
• Present analysis, assumptions, results, and recommendations to actuarial leadership and cross-functional stakeholders in a clear, concise, and audience-appropriate manner.
• Provide technical guidance and quality-review support to less experienced analysts, as assigned, while continuing to develop subject-matter expertise.
• Participate fully in the Actuarial Development Program by pursuing actuarial examinations, completing development activities, incorporating feedback, and applying new knowledge to work assignments.

Skills

Actuarial analytics

Healthcare analytics

Financial modeling

Cross-functional collaboration

Education

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related quantitative field

Tools

SQL

R

Python

Job description

Alignment Health is seeking an Actuarial Analyst II for a remote role, focusing on Medicare Advantage pricing, forecasting, reserving, risk adjustment, bid development, and financial performance management. You will collaborate with Finance, Product, Network, Operations, and risk-adjustment teams to identify financial risks and opportunities.

The role requires 2–4 years of actuarial experience, a bachelor’s degree in a quantitative field, and proficiency with SQL, R, or Python.