Vice President; VP Pharmacy Actuary

Overview

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 evaluate 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

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 salary, Elevance Health offers comprehensive benefits and a 401(k) plan. 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. The health of our associates and communities is a top priority.

We follow all relevant federal, state, and local laws. Elevance Health is an Equal Employment Opportunity employer. Eligible applicants will be considered regardless of age, citizenship, color, disability, gender, national origin, race, religion, sex, sexual orientation, veteran status or any other protected status. Reasonable accommodations during the application process can be requested at elevancehealthj

Note:

The salary range is Elevance Health’s good-faith belief of possible compensation at the time of posting and may be modified in the future based on location, experience, and other factors. No wages or compensation are guaranteed until earned, vested, and determinable under applicable policies.