Remote Actuarial Analyst II — Medicare Advantage Pricing

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 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.