Remote Actuarial Analyst II - Medicare Advantage pricing

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

Job summary

Alignment Health is seeking an Actuarial Analyst II to perform actuarial analyses supporting Medicare Advantage pricing, forecasting, reserving, risk adjustment, bid development, and financial performance management.

The role manages defined analyses and workstreams, develops reliable models and reporting, and translates findings into recommendations for actuarial leadership and cross-functional partners.

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related quantitative field; or equivalent combination of education and experience.
• 2-4 years of actuarial, healthcare analytics, insurance, financial modeling, or other quantitative analysis experience.
• Experience partnering with nontechnical stakeholders to explain quantitative results and 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

SQL

R

Python

Actuarial modeling

Healthcare analytics

Cross-functional collaboration

Financial forecasting

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 to perform actuarial analyses supporting Medicare Advantage pricing, forecasting, reserving, risk adjustment, bid development, and financial performance management.

The role manages defined analyses and workstreams, develops reliable models and reporting, and translates findings into recommendations for actuarial leadership and cross-functional partners.