Senior Actuarial Analyst

Alignment Health

Senior Actuarial Analyst modeling reserves, risk adjustment, Part D, and pharmacy trends for Alignment Health’s senior-focused healthcare plans. Delivering financial insights across regulated operations.

Posted 9/2/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $85,696 - $128,543 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in developing and auditing actuarial models, analyzing healthcare cost trends, and translating complex analytics into actionable business insights. Proficient in ensuring data integrity and supporting financial planning activities within the healthcare sector.

Highest-signal resume keywords

Actuarial Model DevelopmentHealthcare Cost AnalysisFinancial ProjectionsSQL ProgrammingASA Designation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Actuarial MethodsTrend AnalysisData ValidationForecastingUtilization Management KPIsFinancial ReportingStatistical AnalysisBudgetingRisk AssessmentData Reconciliation

Soft Skills

Curious MindsetEagerness to LearnCommunication Skills

Tools & Technologies

SQLRPython

Certifications & Qualifications

ASA Designation

Industry Keywords

Medicare AdvantageHealthcare EconomicsFinancial PlanningClaim AdjudicationOperational Deviations

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

Develop, maintain, and audit actuarial models and traditional actuarial methods supporting 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 methodology changes based on changing circumstances and operational deviations
Collaborate with HealthPlan Economics, Medicare Risk Adjustment, finance, pharmacy, clinical, operations, and external stakeholders
Review financial performance across markets and translate complex analytics into clear business insights
Conduct data-driven analyses for strategic decision-making, program performance evaluation, and risk and opportunity assessment
Explain actuarial methods and analyses to non-actuarial stakeholders and leadership through reports, dashboards, and presentations
Ensure data integrity, validation, and reconciliation across multiple data sources for regulatory and financial reporting
Perform other duties as assigned

Requirements

What you’ll need

3-5 years minimum of required work experience
Requires a college degree with at least a minor in actuarial science, mathematics, statistics, economics, or equivalent business experience
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
Ability to perform each essential duty satisfactorily
Must meet the essential physical functions, including regularly talking or hearing, standing, walking, sitting, using hands and fingers, handling or feeling objects, reaching with hands and arms, and frequently lifting or moving up to 10 pounds

Benefits

Comp & perks

Remote work
Equal Employment Opportunity and Affirmative Action
Reasonable accommodations under the Americans with Disabilities Act (ADA)