Sr. Actuarial Analyst

Alignment Healthcare•Orange, CA

4d•Remote

About The Position

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.

Requirements

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

Nice To Haves

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

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.