agilon health Logo

agilon health

Actuarial Analyst

Posted 7 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in USA
87K-107K Annually
Junior
Remote
Hiring Remotely in USA
87K-107K Annually
Junior
Update and maintain medical margin models for assigned markets, analyze prior period development and emerging trends, prepare audit and close materials, calculate MA payer contract settlements, inform forecast assumptions, and support Market Finance and business development with ad hoc analyses.
The summary above was generated by AI
Company:AHI agilon health, inc.

Job Posting Location:Remote - USA

Job Title:Actuarial Analyst

Job Description:

This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health. Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support.

The Actuarial Analyst will work under the guidance of the Actuarial Manager to contribute to building and improving actuarial models to support agilon’s Medicare Advantage (MA) and ACO business. This includes support for monthly close responsibilities across MA and ACO programs — including REACH, MSSP, and LEAD — as well as annual budget and quarterly forecast development. Above all, the team is project-oriented: We are looking for someone who is eager to learn, willing to work hard, and excited to grow.

Essential Job Functions:
Monthly Close & Reporting:
•    Develop and update medical margin/IBNR models for the monthly close process across REACH, MSSP, and LEAD programs
•    Research and explain prior period development in reserves and medical margin
•    Dig into drivers of financial results — identifying what is driving variance against budget, prior period, and benchmark
•    Use medical economics tools to provide deep insight into trend drivers
•    Prepare materials for presenting close results to Finance and operational leaders
•    Prepare internal and external audit documentation
•    Inform assumptions for budget and quarterly forecasts under ACO program structures
•    Contribute to building, maintaining, and improving actuarial models used across the organization
•    Update standardized reserving models to produce quarterly reserving factors used across the organization
•    Document models clearly so that outputs are understandable to non-actuarial stakeholders
•    Identify opportunities to streamline and automate repeatable analyses
•    Perform ad hoc analyses to support requests from Finance, Operations, and other teams
Other:
•    Exemplify the company’s core values
•    Collaborate cross-functionally with Market Finance, FP&A, Accounting, Medical Economics, and others
•    Other duties as assigned

Required Qualifications: 
Minimum Experience

•    1-2 years of relevant experience in actuarial, finance, healthcare, or a quantitative field
•    Exposure to government healthcare programs (ACO REACH, MSSP, LEAD, Medicare Advantage, or similar) a plus, but not required
•    Demonstrated ability to learn quickly and take on new challenges

Education/Licensure
•    Bachelor’s degree in Actuarial Science, Math, Economics or related field
•    Actuarial exam progress preferred but not required

Knowledge, Skills, and Abilities:
•    Advanced Excel skills — essential; comfort with complex models, pivot tables, formulas, and large datasets is expected
•    Ability to manipulate and interpret large datasets, including healthcare claims and membership data
•    Strong analytical thinking with the ability to identify patterns and communicate findings clearly
•    High attention to detail with a commitment to accuracy
•    SQL or other data querying experience is a plus
•    Strong written and verbal communication skills; able to explain technical results to a non-technical audience
•    Ability to manage multiple priorities in a fast-paced environment
•    Entrepreneurial mindset — willing to take initiative, ask questions, and improve the way things are done
•    Genuine curiosity and a desire to grow
 

Protect yourself: agilon health will never send unsolicited job offers or request payments or financial information. Such communications are fraudulent. Learn how to spot them

Location:Remote - TXPay Range:$87,000.00 - $106,600.00

Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

Similar Jobs

Yesterday
Remote
United States
113K-173K Annually
Senior level
113K-173K Annually
Senior level
Insurance
Design and enhance actuarial pricing models and tools, perform account- and portfolio-level pricing analyses (initially Casualty), partner with underwriting/finance/claims/reinsurance, lead onboarding and ad hoc initiatives, mentor junior analysts, and monitor portfolio performance to inform pricing and product strategy.
Top Skills: MS OfficePythonRSQLVBA
6 Days Ago
In-Office or Remote
73K-95K Annually
Senior level
73K-95K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Senior Actuarial Analyst will manage analyses, develop models, provide insights to support forecasting, and communicate findings to stakeholders, while also mentoring junior analysts.
Top Skills: ExcelPower BIPowerpivotSASSQLVBA
7 Days Ago
Remote
USA
63K-100K Annually
Entry level
63K-100K Annually
Entry level
Healthtech • Insurance
Perform actuarial analyses and reporting to support management decisions: calculate profitability, prepare monthly IBNR reserves, evaluate reimbursement processes and assumptions, run ad-hoc studies to improve efficiency, MLR, and operating results, and contribute on cross-functional initiatives.
Top Skills: Microsoft AccessExcelMicrosoft OutlookMicrosoft PowerpointMicrosoft WordRSASSQL

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account