Senior Actuarial Analyst - Remote Health Plan Analytics

Acturhire; Orange (CA); Remote; USD 86,000 - 129,000; Full time

Job summary

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

The ideal candidate has 3–5 years of actuarial experience, ASA designation or near completion, and programming skills in SQL, R, or Python.

Qualifications

• 3–5 years minimum of required work experience.
• Bachelor's degree with actuarial focus (actuarial science, math, stats or econ).
• ASA designation preferred or near completion.

Responsibilities

• Develop, maintain, and audit actuarial models for monthly reserve balances, RAF accruals, Part D pass-through accruals, forecasting, trend analysis, and financial projections.
• Analyze healthcare cost and utilization trends, including pharmacy, medical cost drivers, and KPI analysis.
• Support pricing, reserving, and financial planning activities, including budgets and forecasts; adjust methodologies as needed.
• Collaborate with HealthPlan Economics and Medicare Risk Adjustment teams and cross-functional partners to review performance and translate analytics into insights.
• Communicate actuarial analyses to leadership via reports, dashboards, and presentations.

Skills

Actuarial modeling

Data analysis

Forecasting

Education

Actuarial Science minor

Tools

SQL

R

Python

Job description

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

The ideal candidate has 3–5 years of actuarial experience, ASA designation or near completion, and programming skills in SQL, R, or Python.