Elevance Health - Waukesha, WI

posted 3 months ago

Full-time - Mid Level
Waukesha, WI
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 projects. This position is designed for individuals who have a strong background in actuarial science and are capable of performing intricate actuarial studies. 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 one of Elevance Health's PulsePoint locations, with a preferred location in Indianapolis, IN. In this role, the Actuarial Analyst III will insource Medicare Advantage Risk Adjustment Analytics from vendors, ensuring that the analytics are accurate and actionable. The analyst will also be responsible for analyzing and implementing 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 insights to the management team. The position also involves a mentoring component, as the Actuarial Analyst III will assist in training actuarial trainees, analysts, and specialists, helping to develop the next generation of actuarial professionals. Furthermore, the analyst will coordinate and direct special actuarial projects, showcasing their leadership and project management skills. This role is non-management exempt and operates primarily during the first shift in the United States.

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 any combination of education and experience that provides an equivalent background.

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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