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