Elevance Health - Grand Prairie, TX
posted 3 months ago
The Actuarial Analyst III - Medicare Risk Adjustment position at Elevance Health is a critical role that involves completing diverse and complex actuarial projects. This position is designed for individuals who have a strong background in actuarial science and are looking to make a significant impact in the healthcare industry. The ideal candidate will work in a hybrid model, balancing remote work with time spent in the office, and should reside within 50 miles of one of Elevance Health's PulsePoint locations, preferably in Indianapolis, IN. In this role, the Actuarial Analyst III will insource Medicare Advantage Risk Adjustment Analytics from vendors, ensuring that the company has the necessary data and insights to make informed decisions. The analyst will also analyze and implement risk contracts, which includes conducting experience analyses, pricing, filing, and settlement work. Additionally, the analyst will prepare management reports that support new capitation initiatives, providing valuable information to leadership and stakeholders. The position also involves a mentoring component, as the Actuarial Analyst III will assist in training actuarial trainees, analysts, and specialists. This aspect of the role is crucial for fostering the next generation of actuarial professionals within the organization. Furthermore, the analyst will coordinate and direct special actuarial projects, showcasing their ability to manage complex tasks and lead initiatives that drive the company's goals forward.