Actuarial Analyst II - Remote

Alignment Health; Sacramento (CA); Remote; USD 78,000 - 117,000; Full time

Job summary

Alignment Health is seeking an Actuarial Analyst II to perform analyses supporting Medicare Advantage pricing, forecasting, reserving, risk adjustment, and bid development. You will work with Finance, Product, Network, Operations, and risk teams to identify financial risks and opportunities and present findings to leadership.

You will independently manage defined workstreams, develop models, and deliver reliable reporting.

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related quantitative field.
• 2–4 years of actuarial, healthcare analytics, insurance, financial modeling, or related quantitative analysis experience.
• Experience with large datasets, actuarial models, and reporting tools.
• Ability to independently organize and complete defined analyses, validate outputs, and communicate findings.

Responsibilities

• Develop and maintain actuarial analyses, models, and reporting to support pricing, forecasting, reserving, risk adjustment, and financial planning.
• Analyze claims, utilization, membership, risk scores, and provider performance to identify trends, risks, and opportunities.
• Prepare components of Medicare Advantage bid submissions and supporting documentation.
• Perform monthly/quarterly reserve and financial-performance analyses; explain variances.
• Evaluate financial impact of changes and communicate implications to partners.
• Build repeatable actuarial models, dashboards, and documentation with proper data-management and version-control.

Skills

SQL

R

Python

Education

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

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.This is a remote position.

Actuarial Analyst II

The Actuarial Analyst II is an experienced individual contributor who performs actuarial analyses supporting Medicare Advantage pricing, forecasting, reserving, risk adjustment, bid development, and financial performance management. The role independently manages defined analyses and workstreams, develops reliable models and reporting, and translates quantitative findings into clear recommendations for actuarial leadership and cross-functional partners. This position works closely with Finance, Product, Network, Operations, and clinical or risk-adjustment teams to identify financial risks, opportunities, and emerging trends.

General Duties/Responsibilities (May include but not limited to)

• 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.

Supervisory Requirements: N/A

JOB Requirements

Experience

• 2-4 years of actuarial, healthcare analytics, insurance, financial modeling, or other relevant quantitative analysis experience
• Experience working with large datasets, financial or actuarial models, and reporting tools
• Demonstrated ability to independently organize and complete defined analyses, validate outputs, identify issues, and communicate findings
• Experience partnering with nontechnical stakeholders to explain quantitative results and support decisions

Education/Licensure

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related quantitative field; or equivalent combination of education and experience.

Additional Requirements

• Must actively participate in the Actuarial Development Program
• Successfully passed 2-4 actuarial examinations
• Actuarial modeling, forecasting, and financial analysis
• Healthcare cost, utilization, membership, and risk-adjustment analytics
• Cross-functional collaboration and stakeholder management

Preferred

• Previous knowledge of Medicare Advantage
• Programming experience in SQL, R or Python

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Pay Range

Pay Range: $77,905.00 - $116,858.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.