Sr. Actuarial Analyst - Remote

Alignment Health • Orange, CA

4d • $85,696 - $128,543 • Remote

About The Position

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

Requirements

• At least 3–5 years of work experience.
• A college degree with at least a minor in actuarial science, mathematics, statistics, or economics, or equivalent business experience.
• ASA designation or completion of the majority of the courses required to complete the ASA designation.
• Curious mindset and eagerness to learn within the actuarial field and outside the traditional actuarial field.

Nice To Haves

• Previous knowledge of Medicare Advantage.
• Programming experience in SQL, R, or Python.

Responsibilities

• 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, and 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 actuarial methods and analyses clearly to stakeholders outside the department, including leadership, through reports, dashboards, and presentations.
• Ensure data integrity, validation, and reconciliation across multiple data sources to support regulatory and financial reporting requirements.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior