Risk Adjustment Actuarial Analyst II Advanced Analytics

Risk Adjustment Actuarial Analyst II Advanced Analytics

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

The Risk Adjustment Actuarial Analyst II Advanced Analytics is responsible for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business.

Primary duties may include, but are not limited to:

• Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives.
• Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions.
• Prepares management reports for risk adjustment related projects.
• Collects and documents reporting and programming requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer.
• Develops ad hoc risk adjustment reports using SAS and SQL as needed.
• Attends and actively participates in internal risk adjustment analytics and risk adjustment operations meetings.
• Participates in peer-to-peer review process to reduce report writing errors and rework.

Minimum requirements:

• Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1-year related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred skills, capabilities, and experiences:

• 1 year or more of risk adjustment analytics experience for government programs strongly preferred.
• Proficiency in SAS and SQL or experience using other programming languages and an aptitude and desire to learn these programming languages quickly.
• Proven written and verbal communication skills in a collaborative environment.

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $71,136 to $134,784 annually.

Locations: Colorado, Illinois, New Jersey, Maryland, Minnesota, and New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.