Remote Senior Actuarial Analyst — Healthcare Forecasting & Insight

Alignment Healthcare USA, LLC in; Orange (CA); Remote; USD 86,000 - 129,000; Full time

Benefits offered by this job

Remote work

Job summary

Alignment Health, LLC is seeking a Senior Actuarial Analyst to perform advanced actuarial analysis, financial modeling, and data-driven insights across reserves, risk adjustment, Part D, bid review, and pharmacy analytics. This remote role partners with finance, pharmacy, clinical, and operations to deliver actionable insights.

You will develop models, analyze trends, support budgeting, and communicate results to leadership while ensuring data integrity for regulatory reporting.

Qualifications

• 3-5 years minimum of required work experience.
• College degree with a minor in actuarial science, mathematics, statistics, economics, or equivalent business experience.
• ASA designation or near completion.
• Previous knowledge of Medicare Advantage is preferred.
• Programming experience in SQL, R or Python is a plus.

Responsibilities

• Develop, maintain, and audit actuarial models to support reserves and RAF accruals.
• Analyze healthcare cost and utilization trends and forecast financial performance.
• Support pricing, reserving, and financial planning activities.
• Collaborate with cross-functional teams to translate analytics into insights.
• Communicate actuarial methods and findings to leadership with dashboards and reports.
• Ensure data integrity and regulatory reporting readiness.

Education

Bachelor's degree with minor in actuarial science, mathematics, statistics, economics, or equivalent business experience

ASA designation

Tools

SQL

R

Python

Job description

Alignment Health, LLC is seeking a Senior Actuarial Analyst to perform advanced actuarial analysis, financial modeling, and data-driven insights across reserves, risk adjustment, Part D, bid review, and pharmacy analytics. This remote role partners with finance, pharmacy, clinical, and operations to deliver actionable insights.

You will develop models, analyze trends, support budgeting, and communicate results to leadership while ensuring data integrity for regulatory reporting.