Actuarial Analyst II (US)

Elevance Health•Indianapolis, IN

3d•Hybrid

About The Position

The Actuarial Analyst II completes projects and performs complex actuarial studies. Join a high-impact team driving advanced analytics and actuarial innovation across Local Group, Individual, Medicaid, and Medicare lines of business. The Trend Insight Innovations team is pioneering the use of weekly trend data, predictive analytics, AI-enabled insights, and multi-source health indicators to anticipate future health cost drivers and enable faster, smarter business decisions. We are modernizing how emerging cost drivers are detected and communicated to support critical decisions for executive, actuarial, financial, and other key business stakeholders.

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.

Nice To Haves

Experience using Snowflake, SQL, Python, Excel, Power BI, Tableau, or similar tools for data extraction, manipulation, statistical analysis, reporting, and visualization.
Experience working with large claims datasets, healthcare cost metrics, utilization metrics, or other healthcare data sources.
Strong attention to detail and problem-solving ability, including the ability to validate results, identify data anomalies, investigate unexpected trend changes, and explore unfamiliar data sources.
Developing ability to apply actuarial judgment, statistical techniques, and business context to interpret complex trends and distinguish meaningful signals from normal variation.
Ability to translate analytical findings into clear, concise insights for both technical and non-technical audiences.
Curiosity and developing proficiency in using approved AI-enabled tools and automation techniques to improve analytical efficiency, reporting, and business outcomes.

Responsibilities

Obtains, verifies, analyzes and models data including risk reporting and forecasting.
Analyze and monitor weekly incurred claims, paid claims, pharmacy, lab, and authorization data to identify cost drivers, data anomalies, and emerging trends.
Perform validation, reconciliation, and reasonability checks to ensure weekly trend reporting is accurate, reliable, and appropriately interpreted.
Develop and support actuarial studies using large, complex datasets to evaluate health claim activity, emerging cost pressures, and key drivers such as utilization shifts, unit cost, mix, seasonality, and claims lag.
Investigate new data sources and potential KPIs by assessing data quality, relevance, limitations, and business interpretability, while contributing to integration efforts and enhancements to the Leading Indicator dashboard tool.
Assist in building and refining predictive models, analytical frameworks, early-warning systems, dashboards, and automated reporting processes used to monitor and anticipate future health cost trends across multiple lines of business.
Translate complex data insights into clear, actionable intelligence for actuarial, health cost management, finance, and other business partners.
Prepare summaries, exhibits, visualizations, and executive-level reporting used to communicate key findings, inform cost management strategies, support financial planning, and assist with quarterly earnings preparation.
Collaborate with actuaries, data scientists, and business partners to improve the interpretability, automation, and visual storytelling of complex trend data.