Actuarial Director - Level Funding Pricing

Elevance Health • Atlanta, GA

48d • Hybrid

About The Position

Actuarial Director - Level Funding Pricing Location:  This role requires associates to be in-office 3 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. The ideal candidate will reside in Indianapolis, IN or Atlanta, GA. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Director - Level Funding Pricing is responsible for identifying, evaluating and responding to financial risks inherent in the pricing and development of health insurance products. How you will make an impact:

Requirements

• Requires a BA/BS degree and minimum of 6 years related experience; or any combination of education and experience, which would provide an equivalent background.
• FSA required from the Society of Actuaries (SOA).

Nice To Haves

• Prior pricing experience working within stop loss/level-funded space strongly preferred.
• Experience with leading and developing pricing strategies using data and analyses to guide underwriting decision-making within the stop loss/level-funded space preferred.
• Ability to be innovative and assess potential AI or predictive tools to assist in risk identification and/or scoring methods to guide pricing decisions preferred.
• Small group pricing experience within level-funded preferred.
• Excellent writing and presentation skills, and ability to convey technical analyses and information in a clear manner to non-technical business audiences, including C-suite, Senior HR, Finance leadership preferred, and potential external Producer partners and/or clients preferred.
• Experience with consulting and evaluating impact of regulatory changes, including hospital and provider price transparency, No Surprises Act, Affordable Care Act, Medicare Reference Pricing, CMS value-based payments and other health reform and industry health innovation initiatives preferred.
• Experience serving large/complex Fortune 500 organizations, as well as developing scaled solutions for smaller self-insured groups preferred.
• Ability to review technical work product and mentor junior technical staff including analysts, data scientists, statisticians and actuaries preferred.
• Experience working with large health claims datasets or gathering datasets. Experience with evaluation of provider quality and quality data. Experience with HIPAA and de-identification standard methodologies preferred.
• Well-developed skills in project management/planning and partner management preferred.

Responsibilities

• Prepares and interprets data and related formulae.
• Monitors trend of profit and profitability by line of business and/or product.
• Serves on major, multi-function projects as Actuarial representative.
• Organizes and directs the staffing and workflow of the section.
• Light travel may be required.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Industry: Insurance Carriers and Related Activities
• Number of Employees: 5,001-10,000 employees