Vice President; VP Pharmacy Actuary

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 Carelon Rx 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

Position 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 Carelon
  
  RX 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.

Position 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. MBA, MHA, MA, FSA preferred.

Preferred Skills, Capabilities and Experiences:
Prior experience with Cost of Care, provider network contracting, provider networks, claims, finance, and operations preferred. Pharmacy actuarial experience strongly preferred.

Corporate

Title:

Staff VP Actuarial Cost of Care and Analytics

For candidates working in person or remotely in the below locations, the salary range for this specific position is $183,040 to $329,472 Locations:
California;
Illinois, Maryland;
Massachusetts;
New Jersey;
New York

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).

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.