[Hiring] Senior Actuarial Analyst @Alignment Health

Role Description

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.

• 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.

Qualifications

• 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.

Requirements

• Ability to perform each essential duty satisfactorily.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Benefits

• Remote work opportunity.
• 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.

Company 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.