Risk Adjustment Actuarial Analyst II – Advanced Analytics
About The Position
Risk Adjustment Actuarial Analyst II – Advanced Analytics On-Site Requirement: Hybrid 1; 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. 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 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. How You Will Make an Impact
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
- 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.
Responsibilities
- 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.
Benefits
- 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).
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
