Actuarial Analyst III

Elevance Health • Mason, OH • 1w ago

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Actuarial Analyst III completes very diverse and complicated projects and performs very complex actuarial studies. In this role, you will join a high-impact team driving advanced analytics and actuarial innovation across Local Group, Individual, Medicaid, and Medicare businesses. We are pioneering the use of weekly trend data, predictive analytics, and multi-source health indicators to anticipate future health cost drivers and enable faster, smarter business decisions.

How You Will Make An Impact:

Analyze and monitor weekly incurred claims, paid claims, pharmacy, lab results, and authorizations to identify cost drivers and emerging trends.

Develop and implement actuarial studies and predictive models using large, complex datasets to forecast health claim activity and utilization patterns.

Translate complex data insights into clear, actionable intelligence for actuarial pricing, medical cost management, and finance teams.

Partner with data engineering and business stakeholders to expand data pipelines and enhance quality and usability of trend dashboards.

Drive improvements in early warning indicators for changes in healthcare trend.

Support preparations for executive-level summaries of findings to influence cost management strategies and financial planning.

Support and mentor analyst team members and collaborate with others across the enterprise on high-visibility projects.

Coordinate and direct special projects.

Minimum Requirements:

Requires a BA/BS and to have passed a minimum of four Society of Actuaries (SOA) actuarial exams and a minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

Strong technical background in SQL, Python, R, or SAS for data manipulation and statistical analysis.

Proficiency in Excel, Power BI/Tableau, and actuarial software tools.

Experience working with large administrative claims datasets and healthcare cost/utilization metrics.

Ability to apply actuarial judgment and statistical techniques to interpret and explain complex trends.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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