Alignment Health
Alignment Health
Alignment Health is a healthcare insurance company focused on improving care for Medicare members, particularly seniors, people living with chronic conditions, and those who are frail. Founded in 2013, the company combines a personalized care model with technology and a 24/7 concierge care team to coordinate support with trusted local providers. Its work spans healthcare delivery and insurance, with a focus on making care more accessible, responsive, and cost-conscious for its members. Alignment Health hires across a growing healthcare organization serving the needs of Medicare communities.

Actuarial Analyst II, Medicare Advantage

Support Alignment Health’s Medicare Advantage pricing, forecasting, and reserving work. Build actuarial models and turn healthcare financial analyses into recommendations.

Description

  • Build and maintain actuarial analyses, models, and reports for pricing, forecasting, reserving, risk adjustment, and financial planning.
  • Review claims, utilization, membership, risk scores, provider performance, and benefit experience to identify financial trends, risks, opportunities, and key drivers.
  • Prepare assigned portions of Medicare Advantage bid submissions, actuarial exhibits, and supporting materials.
  • Conduct monthly and quarterly reserve, accrual, and financial performance analyses; validate results, reconcile data, and explain significant variances.
  • Assess the financial effects of product, benefit, network, operational, and regulatory changes.
  • Develop and enhance actuarial models, tools, dashboards, controls, and documentation, applying sound data management, validation, and version control.
  • Share analyses, assumptions, results, and recommendations with actuarial leaders and cross-functional partners.
  • Offer technical guidance and review work prepared by less experienced analysts.
  • Take part in the Actuarial Development Program by pursuing exams, completing development activities, applying feedback, and putting new knowledge to use.

Requirements

  • Bring 2–4 years of experience in actuarial work, healthcare analytics, insurance, financial modeling, or another relevant quantitative field.
  • Have experience working with large datasets, financial or actuarial models, and reporting tools.
  • Be able to plan and complete assigned analyses independently, check outputs, spot issues, and communicate findings.
  • Have experience explaining quantitative results to nontechnical partners and supporting their decisions.
  • Hold a bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related quantitative field, or have an equivalent combination of education and experience.
  • Actively participate in the Actuarial Development Program.
  • Have passed 2–4 actuarial examinations.
  • Demonstrate actuarial modeling, forecasting, and financial analysis skills.
  • Understand healthcare cost, utilization, membership, and risk adjustment analytics.
  • Work effectively across teams and manage stakeholder relationships.
  • Knowledge of Medicare Advantage is preferred.
  • Programming experience with SQL, R, or Python is preferred.

Related Jobs

The Standard

Actuarial Developer II, Reporting and Analytics — The Standard (Oregon Remote)

The Standard
1,001 – 5,000 Employees
ConsultingHealthcareLegal

Advance The Standard’s actuarial reporting and pricing technology as an Actuarial Developer II. Lead adoption of its Actuarial Technology Platform, build Databricks solutions, and apply AI tools to modernize analytics and legacy processes.

Open