Healthcare Trend & Analytics Consultant

Elevance Health•Norfolk, VA

3d•Hybrid

About The Position

The Trend & Analytics Business Analyst III (Actuarial Business Analyst III) is responsible for identifying, investigating, and explaining major trend drivers within an assigned business area. This role uses advanced analytical thinking, healthcare business knowledge, and data-driven insights to uncover root causes, identify emerging issues, and inform internal and external customers of meaningful trends, risks, and opportunities. The position operates with a high degree of independence and is expected to proactively identify areas of concern, develop actionable recommendations, and influence business decisions. This also serves as a leader in the adoption of new tools, technologies, and analytical approaches, including artificial intelligence, automation, and advanced data visualization.

Requirements

Requires a BA/BS in Mathematics, Statistics or related field and a minimum of 5 years related experience in an actuarial environment performing financial reporting, rate development, evaluation of risk contingencies and trend projections; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Healthcare analytics experience.
Experience with utilization management data strongly preferred.
4 years of database development and data management.
Experience with Snowflake.
Strong experience in MS SQL Server (2016 or newer).
Proficiency in reporting and visualization tools (Tableau, Power BI, SSRS).
Advanced SQL skills, including writing complex queries.
Strong Excel and general data analysis skills.
Excellent communication skills, project management/implementation, interpersonal and organizational skills.
Demonstrated curiosity, initiative, and a strong desire to learn.

Responsibilities

Identifies, monitors, and analyzes major healthcare trends within an assigned business area, including cost, utilization, clinical, operational, financial, and/or customer-impacting trends.
Proactively investigates emerging issues, anomalies, and performance changes to determine root causes and quantify business impact.
Develops clear, actionable insights and recommendations that help customers and business partners understand trends and determine potential next steps.
Translates complex data and analytics into concise, meaningful narratives for senior leaders, business partners, and non-technical audiences.
Develops and enhances reporting, dashboards, analytical models, and monitoring tools to improve visibility into key trends and performance indicators.
Adoption of new tools, technologies, and analytical capabilities, including AI-enabled tools, automation, self-service analytics, and advanced visualization platforms.
Promotes responsible and effective use of AI and emerging technologies to improve analytical quality, efficiency, and insight generation.
Identifies opportunities to improve analytical processes, standardize methodologies, reduce manual work, and increase consistency across reporting and analysis.
Anticipates customer needs and proactively surfaces insights, risks, and opportunities before they are formally requested.
Performs key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects.
Analyzes and implements risk contracts including conducting experience analyses, pricing, filing and settlement work; and prepares management reports supporting new capitation initiatives.
Assists in training of actuarial trainees, analysts and specialists.
Coordinates/directs special actuarial projects.