Actuarial Analyst III
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 is responsible for completing diverse and complicated projects and performing complex actuarial studies. This position will support the Commercial Actuarial Pricing Modeling Team.
How You Will Make an Impact:
Support development, enhancement, and maintenance of the commercial medical and pharmacy benefit relativity model (AMEBA), a critical tool for pricing, underwriting, and group-level rating decisions.
Perform advanced data analysis, statistical modeling, and validation to ensure accuracy, reasonableness, and regulatory compliance of pricing outputs.
Translate complex plan design features into actionable insights by assessing their impact on cost, utilization, and consumer behavior.
Partner closely with cross-functional stakeholders-including Commercial Pricing, Underwriting, Product, and Rating Systems teams-to inform pricing strategy and business decisions.
Drive continuous improvement through automation and process streamlining initiatives to enhance model efficiency and scalability.
Communicate model methodology, results, and implications clearly to both technical and non-technical stakeholders; support training and adoption among end users.
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 and Experiences:
Strong actuarial and analytical foundation with experience in healthcare pricing, underwriting, or actuarial modeling (commercial medical and pharmacy preferred).
Advanced Excel proficiency required; experience with VBA or other automation techniques strongly preferred.
Programming and data skills (e.g., SAS, SQL, R, Python or other tools) with experience in data extraction, manipulation, and large dataset analysis desired.
Demonstrated ability to perform rigorous data validation and apply sound actuarial judgment to ensure model integrity.
Knowledge of health plan design, benefit structures, and their impact on utilization and cost trends.
Strong communication and collaboration skills, with the ability to work independently while effectively partnering across teams.
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration (https://info.flclearinghouse.com/) .
