Actuarial Director - Level Funding Pricing

Anticipated End Date

Actuarial Director
- Level Funding Pricing

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 if candidates reside within a commuting distance from an office. The ideal candidate will reside in Indianapolis, IN or Atlanta, GA.

Important note:

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.

• 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.

• 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).

• 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, 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.

Director Equivalent

ACT >
Actuarial

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, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.