The Actuarial Analyst will work under the guidance of an Actuarial Regional Manager to maintain and enhance medical margin models for assigned markets. These models support monthly financial close processes, budget development, and quarterly forecasts.
The analyst will play a key role in reviewing Medicare Advantage financial results, with a focus on understanding the drivers of value-based incentive performance and their impact on profitability. Responsibilities include identifying the sources of prior period development, analyzing emerging trends, preparing audit documentation, and supporting ad hoc requests from Market Finance and Business Development.
** This position is open to qualified candidates across the United States.
Essential Job Functions:
For assigned market:
- Update medical margin models to support the monthly close process
- Research and identify drivers of prior period development for revenue and claims
- Enhance and maintain medical economics tools and dashboards to deliver insights into trend drivers and improve decision-making
- Prepare materials to present close results to Market Finance leadership, ensuring clarity and strategic relevance
- Calculate final cash settlements for payer contracts with precision and timeliness
- Prepare and organize documentation for internal and external audits
- Inform key assumptions for annual budget based on actuarial analysis and market trends
- Perform targeted analyses to support requests from Market Finance team
- Support Business Development and Payer Contracting teams by providing actuarial input on financial assumptions
Other Job Functions:
- Exemplify companies’ core values in day-to-day work and team interactions
- Collaborate effectively with Market Finance, FP&A, Accounting, and others
- Engage in professional development through our Actuarial Mentorship Program and other learning opportunities
- Balance company-provided SOA exam study hours with work responsibilities to support both career growth and team success
Required Qualifications:
Minimum Experience
- 1-4 years of relevant actuarial experience in insurance, consulting, or managed care
- Experience with Medicare Advantage products preferred
Education/Licensure:
- Bachelor’s degree in Actuarial Science, Math, Economics, or related field
- 2+ actuarial exams passed
Knowledge, Skills and Abilities:
- Experience with actuarial techniques for analysis and modeling of healthcare financials
- Skilled in interpreting and manipulating large datasets, especially medical claims
- Familiar with basic principles of IBNR reserve development, forecasting, and pricing
- Strong understanding of health insurance, particularly Medicare Advantage
- Demonstrates ownership of deliverables and leadership in cross-functional initiatives
- Thrives in fast-paced environments with a focus on business partner satisfaction
- Entrepreneurial mindset with a willingness to improve processes without prompting
- Excellent written and verbal communication skills
- Proficient in Excel and SQL
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.
Top Skills
What We Do
agilon health is transforming health care for seniors by empowering primary-care physicians to focus on the entire health of their patients. Through our platform and partnership model, agilon health is leading the nation in creating the system we need – one built on the value of care, not the volume of fees. We honor the independence of local physicians and serve as their long-term partner so they can be the physicians they trained to be.
agilon is built for physicians by physicians, as the patient-physician relationship is the cornerstone of care. We allow primary care physicians to take the long view of their relationships with patients, and to be confident in the long-term financial viability of their own practices. We do this through a Total Care Model that maintains the independence of physicians; unites them in a network of like-minded leaders; and integrates all of the components of a global risk business model into a single platform.
