Hybrid Actuarial Analyst II: Medicare Revenue & Analytics

The Elevance Health Companies, Inc.; Indianapolis (IN); Hybrid; USD 77,000 - 116,000; Full time

Benefits offered by this job

comprehensive benefits package

incentive and recognition programs

equity stock purchase

401k contribution

Job summary

Elevance Health is seeking an Actuarial Analyst II to advance Medicare revenue reporting and analytics. The role emphasizes connecting actuarial revenue insights to financial close, supporting GRS revenue analytics and collaborating with Finance and Accounting for month-end processes.

The candidate will analyze data, develop forecasts and maintain models, with exposure to SQL/Python, risk adjustment and valuation tasks.

Qualifications

• BA/BS degree plus 3 actuarial exams and 1 year related experience or equivalent background.
• SOA/CAS exams completed or in progress as required.
• actuarial exams must be in good standing to qualify.

Responsibilities

• Obtains, verifies, analyzes and models data including risk reporting and forecasting.
• Support Medicare revenue Outlook processes, including development, validation and documentation of revenue forecasts.
• Perform month-end revenue calculations and analyses, including run-rate, settlement estimates and mid-year figures.
• Prepare, review and maintain actuarial models for Medicare revenue accruals, settlements and reporting.
• Analyze revenue trends, membership changes, risk adjustment impacts, settlement drivers, and key drivers of financial results.
• Partner with Finance and Accounting to support month-end close, journal entries, accruals, reconciliations and variance explanations.
• Communicate revenue results, drivers and risks to actuarial leadership and stakeholders.
• Assist in preparation of revenue dashboards, settlement summaries and executive reports.
• Research actual-to-expected revenue variances including run rate, settlement estimates and timing differences.
• Ensure calculations are accurate, well-controlled and documented according to governance standards.
• Identify opportunities to improve revenue models, reporting processes and controls.
• Support ad hoc analyses related to Medicare revenue and financial performance.

Skills

SQL/Python experience

Pricing/Valuation experience

Risk adjustment experience

Education

BA/BS degree

SOA/CAS actuarial exams

Job description

Elevance Health is seeking an Actuarial Analyst II to advance Medicare revenue reporting and analytics. The role emphasizes connecting actuarial revenue insights to financial close, supporting GRS revenue analytics and collaborating with Finance and Accounting for month-end processes.

The candidate will analyze data, develop forecasts and maintain models, with exposure to SQL/Python, risk adjustment and valuation tasks.