Remote Actuarial Analyst II - Medicare Advantage

Acturhire; California; Remote; USD 78,000 - 117,000; Full time

Job summary

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

The position offers growth in a fast-growing company and requires 2–4 years actuarial experience, a bachelor's in a quantitative field, and programming skills in SQL, R, or Python.

Qualifications

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

Responsibilities

• Develop and maintain actuarial analyses, models, and reporting to 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 analysis

Data analysis

Financial modeling

Stakeholder communication

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 experienced Actuarial Analyst II for a remote role focused on Medicare Advantage pricing, forecasting, reserving, and risk adjustment. You will work with Finance, Product, Network, Operations, and risk-adjustment teams to identify financial risks and opportunities.

The position offers growth in a fast-growing company and requires 2–4 years actuarial experience, a bachelor's in a quantitative field, and programming skills in SQL, R, or Python.