Analyst III - Actuarial Services-Healthcare; CA Residents

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