Elevance Health

Actuarial Analyst III

Elevance Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • Missouri, Virginia, Wisconsin

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Job Level

Mid-LevelSenior

Tech Stack

PythonSQLTableau

About the role

  • 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.

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.
  • 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.