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Alliance Health

Actuarial Associate

Alliance Health

. Analyze and interpret data related to cost, membership, capitation, rate-setting, IBNR, and other items .

Posted 10/23/2026full-timeRemote • North Carolina • United StatesMid-Level💰 $79,425 - $101,267 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing financial data, modeling with SQL and Excel, and developing IBNR models to assess risk and financial outcomes. Strong communication skills are essential for presenting complex information and collaborating with stakeholders.

Highest-signal resume keywords
SQLIBNR ModelingFinancial Risk AssessmentActuarial Science DegreeSociety of Actuary Examinations

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Data AnalysisFinancial ReconciliationRate-SettingCost AnalysisStatistical Modeling
Soft Skills
Verbal CommunicationWritten CommunicationComplex Problem SolvingTime ManagementOrganization
Tools & Technologies
Microsoft ExcelMicrosoft Office Package
Certifications & Qualifications
Society of Actuary Examinations
Industry Keywords
Health PlanValue-Based ContractPMPM RatesCapitationFinancial Close Processes

Tech Stack

Tools & technologies
SQL

About the role

Key responsibilities & impact
  • Analyze and interpret data related to cost, membership, capitation, rate-setting, IBNR, and other items
  • Use SQL and Excel to model data and assess financial risk
  • Develop exhibits to assist in socialization of financial outcomes
  • Serve as a subject matter expert to internal and external stakeholders
  • Partner with teams to produce actionable insights
  • Evaluate potential risks and their financial impact on the organization
  • Analyze actual versus budgeted PMPM rates by Category of Service and evaluate healthcare expense patterns
  • Support development, maintenance, and preparation of IBNR models, lag schedules, and liability calculations
  • Adjust and refine IBNR models based on organizational, environmental, or emerging risk changes
  • Assist with Value-Based Contract assessment and reporting
  • Undertake financial reconciliation for risk-sharing agreements
  • Evaluate feasibility and opportunity for new Value-Based Contract arrangements
  • Become an internal SME on state rate developments
  • Analyze state-provided rate books to validate assumptions
  • Assist in creating documented procedures supporting completion and IBNR
  • Present and communicate complex statistical and mathematical information
  • Develop and present strategies and solutions that manage risk and costs
  • Travel to the Home office for onsite meetings may be required

Requirements

What you’ll need
  • Bachelor’s Degree in Actuarial Science, Mathematics, Business, or related field from an accredited college/university
  • At least three (3) or more years of related experience in an Actuarial capacity
  • Passed at least 2 Society of Actuary (SOA) Actuarial Examinations
  • Experience with Financial Close Processes preferred
  • Experience supporting Health Plan preferred
  • Training/Presentation skills
  • Microsoft Office Package
  • Verbal communication
  • Organization
  • Complex problem solving
  • Time management and prioritization
  • Written communication and reporting
  • SQL
  • Satisfactory background and credit check required

Benefits

Comp & perks
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility