Actuarial Director – Level Funding Pricing at Elevance Health

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, InsuranceIndustries

Requirements

BA/BS degree and minimum of 6 years related experience; or any combination of education and experience which would provide an equivalent background
FSA required from the Society of Actuaries (SOA)

Responsibilities

Prepares and interprets data and related formulae
Monitors trend of profit and profitability by line of business and/or product
Serves on major, multi-function projects as Actuarial representative
Organizes and directs the staffing and workflow of the section
Identifies, evaluates and responds to financial risks inherent in the pricing and development of health insurance products

Skills

Key technologies and capabilities for this role

Actuarial ScienceFSASociety of ActuariesPricingLevel FundingStop LossUnderwritingData AnalysisProfitability AnalysisRisk AssessmentPredictive ModelingAI Tools

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This role requires associates to be in-office 3 days per week, with flexibility for virtual work. The ideal candidate will reside in Indianapolis, IN or Atlanta, GA, and candidates not within reasonable commuting distance will not be considered unless an accommodation is granted.

What are the minimum qualifications for this position?

Requires a BA/BS degree and minimum of 6 years related experience, or equivalent combination of education and experience. FSA required from the Society of Actuaries (SOA).

What preferred skills are highlighted for this role?

Prior pricing experience in stop loss/level-funded space, leading pricing strategies using data analyses, small group pricing experience, excellent writing and presentation skills, and experience with regulatory changes and mentoring junior staff are preferred.

What is the salary or compensation for this position?

This information is not specified in the job description.

What makes a strong candidate for this Actuarial Director role?

A strong candidate has FSA from SOA, 6+ years of related experience, prior pricing experience in stop loss/level-funded space, skills in data-driven pricing strategies, regulatory knowledge, and ability to mentor staff and communicate with non-technical audiences.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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