Actuarial Analyst III

Elevance Health (Anthem); Mason (OH); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

merit increases

Paid holidays

Paid Time Off

401(k) + match

medical

dental

vision

short/long term disability

Job summary

Elevance Health is seeking an Actuarial Analyst III to tackle diverse actuarial projects, including risk contracts, pricing and settlements with senior management reporting for capitation initiatives.

You will mentor trainees, coordinate special projects, and contribute to PBM initiatives, leveraging Excel and SAS with opportunities to grow in R, Snowflake and AI tools in healthcare.

Qualifications

• Requires a BA/BS and to have passed a minimum of four SOA actuarial exams and a minimum of 3 years related experience.
• Experience in pricing, filing, settlement and experience analyses is expected.
• Pharmacy benefits management (PBM) initiatives experience is a plus.

Responsibilities

• Analyze and implement risk contracts, including experience analyses, pricing, filing and settlement work; prepare management reports for capitation initiatives.
• Assist in training actuarial trainees and coordinate special projects.
• Engage in PBM initiatives and pharmacy claim forecasting/analysis for Medicare.

Skills

Actuarial analysis

Excel

SAS

Pharmacy claims knowledge

Education

Bachelor's degree (BA/BS)

SOA exams (4+)

Tools

R

Snowflake

AI tools

Job description

Actuarial Analyst III

Anticipated End Date

2026-09-25

Locations

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.

PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.

Job Description

The Actuarial Analyst III completes very diverse and complicated projects and performs very complex actuarial studies.

How you will make an Impact

• 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.
• Engage in the dynamic and rewarding field of pharmacy claim forecasting and analysis, primarily for Medicare, while collaborating on cutting-edge Pharmacy Benefits Management (PBM) initiatives.
• Leverage and expand your expertise in Excel and SAS, with the opportunity to enhance your skills in R, Snowflake and AI tools, as you contribute to impactful projects that drive innovation and efficiency in healthcare solutions.

Minimum Requirements

Requires a BA/BS and to have passed a minimum of four Society of Actuaries (SOA) actuarial exams and a minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Experiences and Competencies

• Healthcare Industry experience
• Understanding of pharmacy claims, drug utilization, unit cost trends, and key drivers of Medicare Part D financial performance.

Job Level

Non-Management Exempt

Workshift

1st Shift (United States of America)

Job Family

ACT > Actuarial

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources

Hybrid Workforce Strategy

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. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

COVID-19 Vaccination Requirement

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Equal Employment Opportunity

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.

Accommodations

Applicants who require accommodation to participate in the job application process shou