Risk Adjustment Actuarial Analyst II - Advanced Analytics

Anticipated End Date:

Position Title: 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. 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.

• 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.

• 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.

• 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.

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $71,136 to $134,784 annually.

Locations:
Colorado;
Columbus, OH;
Illinois;
New Jersey;
Maryland;
Minnesota;
Massachusetts; and 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 401(k) contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level: Non‑Management Exempt

Job Shift: 1st Shift (United States of America)

Job Family: 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.