Associate Actuary, Medicare Pharmacy Trend Analytics

Elevance Health

Associate Actuary managing Medicare pharmacy spend and trend analyses. Collaborating with teams to provide insights for pricing strategy and product design at CarelonRx, Elevance Health.

Posted 7/13/2026full-timeAtlanta • Minnesota, Ohio • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicare Part D and Part B drug spend analysis, leveraging strong analytical skills to deliver actionable insights and support business decisions. Proficient in interpreting financial performance and communicating complex information effectively to stakeholders.

Highest-signal resume keywords

Medicare Part D ExperiencePharmacy Benefit Management (PBM) ExperienceActuarial FunctionsData Analysis with SQL and PythonPresentation and Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Spend AnalysisCohort StudiesBenefit Phase AnalysisFinancial Impact EvaluationExperience-Rating Formulae Development

Soft Skills

Strong Communication SkillsPresentation Skills

Tools & Technologies

DatabricksSQLPythonSnowflakePower BI

Certifications & Qualifications

Associate of the Society of Actuaries (ASA)

Industry Keywords

MedicareHealthcare Claims DatasetsInflation Reduction Act (IRA)Pharmacy Financial PerformanceRisk Management

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

Prepares and presents Medicare Part D and Part B drug spend and trend analyses for Medicare Individual and Group (GRS) businesses, communicating key cost drivers, product mix, member demographics, population shifts, and seasonality to support business decisions
Delivers actionable pharmacy spend and trend insights through recurring trend reporting, cohort studies, benefit phase analyses, and ad hoc analyses to identify emerging trends and assess Medicare pharmacy financial performance
Performs key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects
Designs and completes special projects such as developing and maintaining experience-rating formulae and creating and/or reviewing alternative settlement formulae and risk-sharing models
Responsible for recommendations on pricing, marketing, product design, claims, premium, and enrollment administration of the business unit
Responsible for valuation support for the business unit by interpreting financial results and variances from forecast to identify product and segment behavior and assist in the risk management of the business unit

Requirements

What you’ll need

Requires a BA/BS degree and a minimum of 4 years of related experience
Associate of the Society of Actuaries (ASA) designation required
Previous Pharmacy Benefit Management (PBM) experience strongly preferred
Medicare Part D experience strongly preferred
Experience analyzing Medicare Part B drug spend and trend
Strong presentation and communication skills with the ability to explain complex Medicare Part B and Part D pharmacy spend and trend drivers to executive and health plan leadership
Experience interpreting pharmacy financial performance and communicating actionable insights to business stakeholders
Experience performing pharmacy spend and trend analyses, cohort studies, benefit phase analyses, and retrospective trend reporting
Experience evaluating the financial impact of CMS programs and Medicare legislation, including the Inflation Reduction Act (IRA)
Experience with Databricks, SQL, Python, Snowflake, and Power BI
Experience working with large healthcare claims datasets and developing analytical reporting and visualization solutions

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources