Vice President; VP Pharmacy Actuary

Staff Vice President (VP) Pharmacy Actuary

2 days ago Be among the first 25 applicants

This range is provided by Elevance Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$/yr - $/yr

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.

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.

10+ direct reports / 20+ total FTE's

• 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 evaluates performance of direct reports.

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.

• 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). 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.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.
  
  No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a…