Elevance Health - Mason, OH

posted 3 months ago

Full-time - Mid Level
Mason, OH
10,001+ employees
Insurance Carriers and Related Activities

About the position

The Actuarial Analyst III - Medicare Risk Adjustment position at Elevance Health is a critical role that involves completing diverse and complex actuarial studies and projects. This position is designed for individuals who have a strong background in actuarial science and are capable of handling intricate analyses related to Medicare Advantage Risk Adjustment. The ideal candidate will work in a hybrid model, balancing remote work with time spent in the office, and should ideally reside within 50 miles of an Elevance Health PulsePoint location, with a preferred location in Indianapolis, IN. In this role, the Actuarial Analyst III will be responsible for insourcing Medicare Advantage Risk Adjustment Analytics from vendors, which involves analyzing and implementing risk contracts. This includes conducting experience analyses, pricing, filing, and settlement work, as well as preparing management reports that support new capitation initiatives. The analyst will also assist in the training of actuarial trainees, analysts, and specialists, ensuring that knowledge and skills are effectively passed on within the team. Additionally, the role requires coordination and direction of special actuarial projects, making it essential for the candidate to possess strong project management skills and the ability to work collaboratively with various stakeholders. The position is classified as Non-Management Exempt and operates on a first shift schedule. Elevance Health is committed to creating a culture that fosters personal and professional growth for its associates, emphasizing values and behaviors that drive success for consumers, associates, and the community. The company offers a competitive total rewards package, including merit increases, paid holidays, Paid Time Off, and various benefits such as medical, dental, vision, and wellness programs. The health and safety of associates and communities are prioritized, with vaccination against COVID-19 required for certain roles.

Responsibilities

  • Insources Medicare Advantage Risk Adjustment Analytics from vendors.
  • Analyzes and implements risk contracts including conducting experience analyses, pricing, filing and settlement work.
  • Prepares management reports supporting new capitation initiatives.
  • Assists in training of actuarial trainees, analysts and specialists.
  • Coordinates/directs special actuarial projects.

Requirements

  • Requires a BA/BS degree.
  • Must have passed a minimum of four Society of Actuaries (SOA) actuarial exams.
  • Minimum of 3 years related experience or equivalent combination of education and experience.

Nice-to-haves

  • Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred.

Benefits

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Short and long term disability benefits
  • 401(k) with matching
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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