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Actuarial Risk Adjustment Jobs in California (NOW HIRING)

Deloitte

Health Actuary Consulting Manager

San Jose, CA · On-site

... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help ...

Alignment Healthcare

VP, Internal Audit

Orange, CA · On-site

Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter ... Partner with compliance, legal, and actuarial leaders to ensure audit programs reflect current CMS ...

Alignment Healthcare

VP, Internal Audit

Orange, CA · On-site

Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter ... Partner with compliance, legal, and actuarial leaders to ensure audit programs reflect current CMS ...

SOLV Energy

Director, Risk Management

San Diego, CA · On-site

... adjustments. Alternative Risk Financing & Captive Development * Lead the feasibility analysis ... Partner with external advisors (actuaries, captive managers, legal counsel) to structure, domicile ...

SOLV Energy, Inc.

Director, Risk Management

San Diego, CA · On-site

$169.48 - $203.38/hr

... adjustments.**Alternative Risk Financing & Captive Development*** Lead the feasibility analysis ... Partner with external advisors (actuaries, captive managers, legal counsel) to structure, domicile ...

Socket.dev

Director, Risk Management

San Diego, CA · On-site

$169.48 - $203.38/hr

... adjustments. Alternative Risk Financing & Captive Development * Lead the feasibility analysis ... Partner with external advisors (actuaries, captive managers, legal counsel) to structure, domicile ...

SOLV Energy, LLC

Director, Risk Management

San Diego, CA · On-site

$169.48 - $203.38/hr

... adjustments. * Alternative Risk Financing & Captive DevelopmentLead the feasibility analysis ... Partner with external advisors (actuaries, captive managers, legal counsel) to structure, domicile ...

SOLV Energy

Director, Risk Management

San Diego, CA

... adjustments. Alternative Risk Financing & Captive Development * Lead the feasibility analysis ... Partner with external advisors (actuaries, captive managers, legal counsel) to structure, domicile ...

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Showing results 21-40

All JobsActuarial Risk Adjustment JobsActuarial Risk Adjustment Jobs in California

Actuarial Risk Adjustment information

What is actuarial risk adjustment?

Actuarial risk adjustment is a process used primarily in health insurance to make financial adjustments based on the underlying health status and expected costs of insured populations. This method helps ensure that insurance plans are fairly compensated for taking on higher-risk individuals, preventing insurers from only enrolling healthier people. By analyzing data such as age, gender, and medical history, actuaries create models that predict healthcare costs, which are then used to adjust payments or premiums. This supports fairness and sustainability in insurance markets while promoting access to care for all risk groups.

What are the key skills and qualifications needed to thrive as an actuarial risk adjustment specialist, and why are they important?

To thrive as an Actuarial Risk Adjustment Specialist, you need strong analytical abilities, a solid foundation in mathematics, statistics, or actuarial science, and typically a relevant degree or actuarial exam progress. Familiarity with data analysis tools like SAS, SQL, or Python, as well as knowledge of risk adjustment models and healthcare payment systems, is crucial. Exceptional attention to detail, problem-solving skills, and effective communication help professionals interpret complex data and explain findings to diverse stakeholders. These competencies ensure accurate risk assessments, drive fair reimbursement, and support data-driven decision-making in healthcare finance.

What are some common challenges faced in actuarial risk adjustment roles, and how can they be addressed?

Professionals in Actuarial Risk Adjustment often encounter challenges such as managing large and complex datasets, keeping up with evolving regulatory requirements, and ensuring the accuracy of risk score calculations. These challenges can be addressed by staying current with industry regulations, leveraging advanced analytical tools, and collaborating closely with data scientists, underwriters, and compliance teams. Continuous professional development and strong communication skills are also key to effectively navigating this dynamic environment.

What is the difference between Actuarial Risk Adjustment vs Actuarial Data Analyst?

AspectActuarial Risk AdjustmentActuarial Data Analyst
Required CredentialsActuarial exams, ASA or FSA designationTypically a bachelor's degree, some actuarial exams
Work EnvironmentInsurance companies, healthcare payers, government agenciesInsurance firms, consulting, healthcare organizations
Industry UsageFocuses on adjusting risk models for fairness and accuracyAnalyzes data to support actuarial models and business decisions

Actuarial Risk Adjustment specialists focus on modifying risk models to ensure fairness and accuracy in healthcare or insurance payments, often requiring advanced actuarial credentials. In contrast, Actuarial Data Analysts primarily analyze data to support actuarial models and business strategies, usually with less emphasis on actuarial certification. Both roles work within similar environments but serve different functions within the industry.

What are popular job titles related to Actuarial Risk Adjustment jobs in California?

For Actuarial Risk Adjustment jobs in California, the most frequently searched job titles are:

What job categories do people searching Actuarial Risk Adjustment jobs in California look for?

The top searched job categories for Actuarial Risk Adjustment jobs in California are:

What cities in California are hiring for Actuarial Risk Adjustment jobs?

Cities in California with the most Actuarial Risk Adjustment job openings:

Actuarial Risk Adjustment jobs near you
Infographic showing various Actuarial Risk Adjustment job openings in California as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution.

Health Actuary Consulting Manager

Deloitte

San Jose, CA • On-site

Full-time

Posted 20 days ago

Deloitte rating

8.2

Company rating: 8.2 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

44th of 150 rated financial services

Job description

Join Deloitte's Human Capital practice and help organizations navigate complex challenges across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help clients evaluate business issues, improve decision-making, and support transformation in a rapidly evolving market. This role offers the opportunity to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting, forecasting, reserving, and value-based care.  

Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape industries, our team uniquely addresses the complexities of work, workforce, and workplace dynamics. We leverage sector-specific insights and cross-domain perspectives to help organizations tackle their most challenging workforce issues and align talent strategies with their strategic visions. Our practice is renowned for making work better for humans and humans better at work. Be part of this exciting era of change and join us on this transformative journey. 

Recruiting for this role ends on 10/31/2026. 

Work you'll do 
As an Actuarial Manager on the Insights, Innovation & Operate team, you will be responsible for delivering strategic and technical consulting services to help clients address complex challenges.
  • Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients 
  • Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making 
  • Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives 
  • Support reserve analyses related to health care liabilities, including work performed in connection with Deloitte & Touche audit engagements 
  • Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements  
A successful candidate would possess these skills: 
  • Ability to work independently and collaborate as part of a team 
  • Effective written and verbal communication skills 
  • Meticulous attention to detail and quality of work product 
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams 
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment 
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines 
  • Ability to mentor and provide clear guidance to others 

The Team 
Insights, Innovation, and Operate 
Our Insights, Innovation & Operate Offering is designed to enhance key aspects of our clients' businesses by leveraging cutting-edge technology, data, and a blend of deep technical and human expertise. We innovate and deliver creative, industry-specific solutions that streamline operations and accelerate speed-to-value. 

Qualifications 
Required: 
  • Bachelor's degree 
  • 6+ years of health actuarial experience 
  • Passage of 5 actuarial exams 
  • Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve. 
  • Limited immigration sponsorship may be available. 
Preferred: 
  • 6+ years of consulting, health plan, or insurance company experience 
  • 4+ years of experience leading teams 
  • Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation 
  • 4+ years of experience with product design or product strategy 
  • 4+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling 
  • 4+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets  
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.  

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
Qualifications:
Join Deloitte's Human Capital practice and help organizations navigate complex challenges across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help clients evaluate business issues, improve decision-making, and support transformation in a rapidly evolving market. This role offers the opportunity to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting, forecasting, reserving, and value-based care.  

Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape industries, our team uniquely addresses the complexities of work, workforce, and workplace dynamics. We leverage sector-specific insights and cross-domain perspectives to help organizations tackle their most challenging workforce issues and align talent strategies with their strategic visions. Our practice is renowned for making work better for humans and humans better at work. Be part of this exciting era of change and join us on this transformative journey. 

Recruiting for this role ends on 10/31/2026. 

Work you'll do 
As an Actuarial Manager on the Insights, Innovation & Operate team, you will be responsible for delivering strategic and technical consulting services to help clients address complex challenges.
  • Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients 
  • Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making 
  • Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives 
  • Support reserve analyses related to health care liabilities, including work performed in connection with Deloitte & Touche audit engagements 
  • Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements  
A successful candidate would possess these skills: 
  • Ability to work independently and collaborate as part of a team 
  • Effective written and verbal communication skills 
  • Meticulous attention to detail and quality of work product 
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams 
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment 
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines 
  • Ability to mentor and provide clear guidance to others 

The Team 
Insights, Innovation, and Operate 
Our Insights, Innovation & Operate Offering is designed to enhance key aspects of our clients' businesses by leveraging cutting-edge technology, data, and a blend of deep technical and human expertise. We innovate and deliver creative, industry-specific solutions that streamline operations and accelerate speed-to-value. 

Qualifications 
Required: 
  • Bachelor's degree 
  • 6+ years of health actuarial experience 
  • Passage of 5 actuarial exams 
  • Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve. 
  • Limited immigration sponsorship may be available. 
Preferred: 
  • 6+ years of consulting, health plan, or insurance company experience 
  • 4+ years of experience leading teams 
  • Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation 
  • 4+ years of experience with product design or product strategy 
  • 4+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling 
  • 4+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets  
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.  

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
Education:Bachelor's DegreeEmployment Type:

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