Sr. Actuarial Analyst - Remote

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 is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

This position is remote.

The Senior Actuarial Analyst is a key individual contributor responsible for advanced actuarial analysis, financial modeling, and data-driven insights across multiple areas, including reserves, risk adjustment, Part D, bid review, and pharmacy analytics. This role applies actuarial methodologies to evaluate pharmacy and healthcare trends, develop forecasts, and assess financial risk in a dynamic, regulated environment. The position partners cross-functionally with finance, pharmacy, clinical, operations, and external stakeholders to deliver accurate, transparent, and actionable insights.

General Duties/Responsibilities

• Develop, maintain, and audit actuarial models and traditional actuarial methods to support 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, claim adjudication, and utilization management KPIs.
• Support pricing, reserving, and financial planning activities, including budget and forecast cycles; recommend changes to methodologies based on changing circumstances and operational deviations.
• Collaborate with the HealthPlan Economics and Medicare Risk Adjustment teams, as well as cross‑functional partners, to review financial performance across markets and translate complex analytics into clear business insights.
• Conduct data‑driven analyses to support strategic decision‑making, evaluate program performance, and assess risks and opportunities.
• Communicate the purpose and function of actuarial methods and analyses clearly to stakeholders outside the department, including leadership audiences through reports, dashboards, and presentations.
• Ensure data integrity, validation, and reconciliation across multiple data sources to support regulatory and financial reporting requirements.
• Other duties as assigned.

Supervisory Requirements: N/A

Minimum Requirements

• Minimum Experience: 3‑5 years minimum of required work experience
• Education/Licensure: Requires a college degree with at least a minor in actuarial science, mathematics, statistics, economics, or equivalent business experience
• Other: Previous knowledge of Medicare Advantage is preferred
• ASA designation or has completed the majority of the courses to complete the ASA designation
• Programming experience in SQL, R or Python is a plus
• Curious mindset and eagerness to learn within the actuarial field and also outside the traditional actuarial field

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Aff…

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre‑employment testing or otherwise participating in the employee selection process, please contact [e-mail].

Pay Range: $85,696.00 - $128,543.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission‑focused team makes high‑quality, low‑cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.