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Analyst III - Actuarial Services-Healthcare (CA Residents Only)

Alura Workforce Solutions

Rancho Cucamonga, CA(remote)

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JOB DETAILS
SKILLS
Actuarial Skills, Analysis Skills, Budgeting, Business Plan, Business Strategy, Cisco ASA (Adaptive Security Appliance), Communication Skills, Cross-Functional, Data Analysis, Data Quality, Financial Analysis, Financial Modeling, Financial Projections, Forecasting, Health Plan, Healthcare, Leadership, Life Insurance, Managed Care, Medi-Cal, Medicaid, Medicare, Operational Support, Organizational Skills, Presentation/Verbal Skills, Pricing, Problem Solving Skills, Reimbursement, Risk Analysis, SQL (Structured Query Language), Service-Oriented Architecture (fka Distributed Object Architecture), Statistics, Technical Consulting, Trend Analysis, Writing Skills
LOCATION
Rancho Cucamonga, CA
POSTED
30+ days ago
Analyst III – Actuarial Services

Fully Remote (California Residents Only)  | Direct Placement | Southern California Health Plan 
 
Not every actuarial role is created equal—and this one stands out.
We are working with a respected Southern California health plan to place an actuarial analyst III who has genuinely lived in managed care pricing. This is a direct placement opportunity on a cohesive, tenured, and selective team. 

The ideal candidate has hands-on experience in Medi-Cal, Medicare, or Covered California health plan pricing — not just exposure to it. You'll provide actuarial analytic support across departments and key company initiatives, serving as a technical consultant and subject matter expert to financial analysts and leadership.
What You'll Do
  • Lead ongoing analyses of financial, budgetary, and medical claims data through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment
  • Build financial models to support operational initiatives and enable decision-making on business and strategic matters—quantifying financial impact and testing/reconciling all results
  • Consolidate a wide range of operating and financial projections for development of short- and long-term business plans
  • Generate and distribute regularly scheduled actuarial reports; monitor and analyze data using statistical tools to identify variances, trends, and aberrant data
  • Participate in or lead special studies and ad hoc analyses in support of departmental business and clinical objectives
  • Research and resolve data integrity issues, working independently or cross-functionally
  • Serve as a resource to staff across departments—answering questions related to financial data and referring complex issues as appropriate
  • Communicate and present financial analyses and models to appropriate audiences
What You Bring
  • 4 years of actuarial experience required (or 3 years with completed ASA credential)
  • Healthcare and/or Medicaid, Covered California health plan, and pricing experience required
  • Passed at least 4 SOA exams with plans to continue—exam momentum matters here
  • Bachelor's degree from an accredited institution required
  • SQL programming knowledge preferred
  • Exceptional analytical, organizational, and communication skills — written and verbal
  • Ability to work independently, take initiative, and think creatively and strategically
What's In It For You
  • Fully Remote — California residents
  • Actuarial study program with exam bonuses and immediate salary increases upon passing
  • $3,000 annual expense reimbursement
  • Up to 10% annual performance bonus
  • Annual merit increases
  • CalPERS retirement + 457(b) with contribution match
  • Comprehensive medical, dental, and vision and PTO package 
  • Life, short-term, and long-term disability coverage
  • Paid life insurance
  • Flexible Spending Account — health care and childcare
  • Pet care insurance
  • Career advancement opportunities and professional development
  • Wellness programs that promote a healthy work-life balance

About the Company

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Alura Workforce Solutions