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Actuarial Analyst II
Alignment Health. Develop and maintain actuarial analyses, models, and reporting supporting pricing, forecasting, reserving, risk adjustment, and financial planning decisions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in actuarial modeling, financial analysis, and healthcare analytics, with a strong focus on Medicare Advantage and the ability to communicate complex quantitative results to stakeholders. Proficient in data management and validation practices, ensuring accuracy in analyses and reporting.
Highest-signal resume keywords
Actuarial ModelingFinancial AnalysisHealthcare AnalyticsSQL ProgrammingCross-Functional Collaboration
ATS Keywords
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Hard Skills
Actuarial ModelingFinancial AnalysisForecastingHealthcare AnalyticsData ValidationQuantitative AnalysisReporting ToolsRisk Adjustment AnalyticsAccrual AnalysisClaims Analysis
Soft Skills
Stakeholder ManagementCommunicationOrganizational SkillsTechnical GuidanceCollaboration
Tools & Technologies
SQLRPythonData Management ToolsDashboards
Certifications & Qualifications
Actuarial Examinations
Industry Keywords
Medicare AdvantageHealthcareInsuranceFinancial PlanningUtilization Analysis
Tech Stack
Tools & technologiesPythonSQL
About the role
Key responsibilities & impact- 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
What you’ll need- 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