Elevance Health - Waukesha, WI
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 in-office responsibilities, and should reside within 50 miles of an Elevance Health PulsePoint location, preferably 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 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 insights to the management team. The position also involves assisting in the training of actuarial trainees, analysts, and specialists, thereby contributing to the development of future actuarial talent within the organization. The Actuarial Analyst III 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.