Remote Actuarial Analyst II – Medicare Advantage

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

Job summary

Alignment Health is seeking an Actuarial Analyst II to support Medicare Advantage pricing, forecasting, reserving, and risk adjustment. This remote role collaborates with Finance, Product, and Operations to translate data into actionable insights.

You will develop models, review claims and utilization data, prepare actuarial exhibits, and present findings to leadership. A Bachelor’s in a quantitative field and 2–4 years of actuarial experience are required.

Qualifications

• Bachelor’s degree in a quantitative field or actuarial science.
• 2–4 years of actuarial analytics or healthcare analytics experience.
• Experience with large datasets, modeling, and reporting.

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, and provider performance to identify trends and opportunities.
• Prepare defined components of Medicare Advantage bid submissions and actuarial exhibits.
• Present findings to leadership in a clear, actionable manner.

Skills

Actuarial analysis

Forecasting

Data analysis

Stakeholder communication

Education

Bachelor’s degree in Actuarial Science or related quantitative field

Tools

SQL

Python

R

Job description

Alignment Health is seeking an Actuarial Analyst II to support Medicare Advantage pricing, forecasting, reserving, and risk adjustment. This remote role collaborates with Finance, Product, and Operations to translate data into actionable insights.

You will develop models, review claims and utilization data, prepare actuarial exhibits, and present findings to leadership. A Bachelor’s in a quantitative field and 2–4 years of actuarial experience are required.