Healthcare Trend & Analytics Consultant

Anticipated End Date:

Healthcare Trend & Analytics Consultant

Location: 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. 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.

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
Trend & Analytics Business Analyst III (Actuarial Business Analyst III) is a responsible for identifying, investigating, and explaining major trend drivers within an assigned business area. This role uses advanced analytical thinking, healthcare business knowledge, and data-driven insights to uncover root causes, identify emerging issues, and inform internal and external customers of meaningful trends, risks, and opportunities. The position operates with a high degree of independence and is expected to proactively identify areas of concern, develop actionable recommendations, and influence business decisions.

This also serves as a leader in the adoption of new tools, technologies, and analytical approaches, including artificial intelligence, automation, and advanced data visualization.

PLEASE NOTE:

This position is not eligible for current or future visa sponsorship.

• Identifies, monitors, and analyzes major healthcare trends within an assigned business area, including cost, utilization, clinical, operational, financial, and/or customer-impacting trends.

• Proactively investigates emerging issues, anomalies, and performance changes to determine root causes and quantify business impact.

• Develops clear, actionable insights and recommendations that help customers and business partners understand trends and determine potential next steps.

• Translates complex data and analytics into concise, meaningful narratives for senior leaders, business partners, and non-technical audiences.

• Develops and enhances reporting, dashboards, analytical models, and monitoring tools to improve visibility into key trends and performance indicators.

• Adoption of new tools, technologies, and analytical capabilities, including AI-enabled tools, automation, self-service analytics, and advanced visualization platforms.

• Promotes responsible and effective use of AI and emerging technologies to improve analytical quality, efficiency, and insight generation.

• Identifies opportunities to improve analytical processes, standardize methodologies, reduce manual work, and increase consistency across reporting and analysis.

• Anticipates customer needs and proactively surfaces insights, risks, and opportunities before they are formally requested.

• Performs key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects.

• Analyzes and implements risk contracts including conducting experience analyses, pricing, filing and settlement work; and prepares management reports supporting new capitation initiatives.

• Assists in training of actuarial trainees, analysts and specialists.

• Coordinates/directs special actuarial projects.

Requires a BA/BS in Mathematics, Statistics or related field and a minimum of 5 years related experience in an actuarial environment performing financial reporting, rate development, evaluation of risk contingencies and trend projections; or any combination of education and experience, which would provide an equivalent background.

• Healthcare analytics experience.

• Experience with utilization management data strongly preferred.

• 4 years of database development and data management.

• Experience with Snowflake.

• Strong experience in MS SQL Server (2016 or newer).

• Proficiency in reporting and visualization tools (Tableau, Power BI, SSRS).

• Advanced SQL skills, including writing complex queries.

• Strong Excel and general data analysis skills.

• Excellent communication skills, project management/implementation, interpersonal and organizational skills.

• Demonstrated curiosity, initiative, and a strong desire to learn.

For candidates working in person or virtually in the below locations, the salary
* range for this specific position is $94,560 to 141,840.

Location(s):
Virginia

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,…