Staff Vice President (VP) Pharmacy Actuary

Elevance Health • Morristown, NJ

30d • Hybrid

About The Position

Staff Vice President (VP) Pharmacy Actuary Location May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, Norfolk, VA or Woodland Hills, CA. This role requires associates to be in-office at least 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. 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. Summary Provide support for CarelonRx including trend and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements including operating gain and trends. Team Scope 10+ direct reports / 20+ total FTE’s

Requirements

• Requires a BA/BS in Mathematics, Statistics or related field and minimum of 10 years of related professional/management experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• MBA, MHA, MA, FSA preferred.
• Prior experience with Cost of Care, provider network contracting, provider networks, claims, finance, and operations preferred.
• Pharmacy actuarial experience strongly preferred

Responsibilities

• Complete pharmacy trend and rebate analytics for Medicaid, Medicare and/or Commercial and improve reporting and linkage to financials.
• Drive strategy in development of new tools to support CarelonRX segments.
• Provide analytic support for formulary decisions
• Calculate the value of Cost of Care including pulling data, building models, and developing appropriate assumptions.
• Report the Cost of Care value and show the tie to trends and financial results.
• Hires, trains, coaches, counsels, and evaluate performance of direct reports.

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).
• 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: Executive
• Number of Employees: 5,001-10,000 employees