Senior Actuarial Analyst

🕒 September 2

🏄 California – Remote

🏄 California – Remote

💵 $85.7k - $128.5k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 36%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 70 days.
• Jobs at this company usually fill in 22 days.
• Reposted once.

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Alignment Health

WebsiteLinkedInAll Job Openings

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, maintain, and audit actuarial models and traditional actuarial methods • 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, financial planning, budget cycles, 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 business insights • Conduct data-driven analyses to support strategic decision-making, evaluate program performance, and assess risks and opportunities • Communicate actuarial methods and analyses 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

• 3-5 years minimum of required work experience • College degree with at least a minor in actuarial science, mathematics, statistics, economics, or equivalent business experience • ASA designation or completion of the majority of courses toward the ASA designation • Previous knowledge of Medicare Advantage is preferred • Programming experience in SQL, R or Python is a plus • Curious mindset and eagerness to learn within the actuarial field and outside the traditional actuarial field • Ability to perform each essential duty satisfactorily • Ability to meet the stated physical requirements, including regularly talking, hearing, standing, walking, sitting, using hands and fingers, reaching, and occasionally lifting or moving up to 10 pounds

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