Actuarial Analyst II

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $77.9k - $116.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

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Logo of Alignment Health

Alignment Health

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Develop and maintain actuarial analyses, models, and reporting supporting pricing, forecasting, reserving, risk adjustment, and financial planning decisions • Analyze claims, utilization, membership, risk scores, provider performance, and benefit experience to identify financial trends, risks, opportunities, and key drivers • Prepare defined components of Medicare Advantage bid submissions, actuarial exhibits, and supporting documentation • Perform monthly and quarterly reserve, accrual, and financial-performance analyses; validate results, reconcile data, and explain material variances • Evaluate the financial impact of product, benefit, network, operational, and regulatory changes • Build and improve actuarial models, tools, dashboards, controls, and documentation using data-management, validation, and version-control practices • Present analyses, assumptions, results, and recommendations to actuarial leadership and cross-functional stakeholders • Provide technical guidance and quality-review support to less experienced analysts • Participate in the Actuarial Development Program by pursuing examinations, completing development activities, incorporating feedback, and applying new knowledge

🎯 Requirements

• 2-4 years of actuarial, healthcare analytics, insurance, financial modeling, or other relevant quantitative analysis experience • Experience working with large datasets, financial or actuarial models, and reporting tools • Ability to independently organize and complete defined analyses, validate outputs, identify issues, and communicate findings • Experience partnering with nontechnical stakeholders to explain quantitative results and support decisions • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related quantitative field; or equivalent combination of education and experience • Must actively participate in the Actuarial Development Program • Successfully passed 2-4 actuarial examinations • Actuarial modeling, forecasting, and financial analysis • Healthcare cost, utilization, membership, and risk-adjustment analytics • Cross-functional collaboration and stakeholder management • Previous knowledge of Medicare Advantage preferred • Programming experience in SQL, R or Python preferred

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