Actuarial Analyst II - Remote

Overview

This is a remote position for an Actuarial Analyst II. The role is an experienced individual contributor responsible for actuarial analyses that support Medicare Advantage pricing, forecasting, reserving, risk adjustment, bid development, and financial performance management.

The position independently manages defined analyses and workstreams, builds reliable models and reporting, and translates quantitative findings into clear recommendations for actuarial leadership and cross-functional partners. Work includes close collaboration with Finance, Product, Network, Operations, and clinical or risk-adjustment teams to identify financial risks, opportunities, and emerging trends.

Responsibilities

• Develop and maintain actuarial analyses, models, and reporting to support 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 in accordance with established methodologies and regulatory guidance.
• 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, and communicate implications to business partners.
• Build and improve repeatable actuarial models, tools, dashboards, controls, and documentation using sound data-management, validation, and version-control practices.
• Present analysis, assumptions, results, and recommendations to actuarial leadership and cross-functional stakeholders in a clear, concise, and audience-appropriate manner.
• Provide technical guidance and quality-review support to less experienced analysts, as assigned, while continuing to build subject-matter expertise.
• Participate fully in the Actuarial Development Program by pursuing actuarial examinations, completing development activities, incorporating feedback, and applying new knowledge to work assignments.

Requirements

Experience

• 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
• Demonstrated 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

Education/Licensure

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related quantitative field; or equivalent combination of education and experience

Additional Requirements

• 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

Preferred Qualifications

• Previous knowledge of Medicare Advantage
• Programming experience in SQL, R or Python

Compensation & Benefits

• Pay Range: $77,905.00 - $116,858.00
• Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Location

Remote