Actuarial Analyst III at Elevance Health performing diverse projects and complex actuarial studies. Collaborating with leadership on actuarial modeling and training of associates in a hybrid work environment.
About the role
- Senior Manager providing strategic, analytic, and technical support in health actuarial and benefits at PwC. Leading large projects, innovating processes, and maintaining operational excellence with client engagement.
Responsibilities
- Provide strategic, analytic, and technical support to payer and provider clients
- Lead large projects and innovate processes to drive results
- Maintain operational excellence while engaging with clients at a senior level
- Analyze medical claim data to identify gaps and enhance revenue streams
- Support mergers and acquisitions with strategic insights
- Develop predictive analytics to enhance health plan coding procedures
- Foster a collaborative environment to solve intricate problems
- Maintain excellence in client service and satisfaction
Requirements
- Bachelor's Degree in Actuarial Science, Statistics, Mathematical Statistics, Mathematics, Finance, Economics and Finance, Economics, Business Administration/Management, or Public Policy Analysis
- 7 years of experience
- Master's Degree
- ASA Designation and/or FSA Designation
- Leading functions or projects involving actuarial aspects of commercial and government programs
- Interpreting and applying regulatory requirements and standards
- Employing entrepreneurial capability to identify and evaluate new business opportunities
- Analyzing clients medical claim data to understand historical trends
- Writing medical cost and risk adjustment analytics using SAS
- Supporting mergers and acquisitions by evaluating financial statements
- Developing predictive analytics to identify gaps within a health plan's coding procedures
Benefits
- medical
- dental
- vision
- 401k
- holiday pay
- vacation
- personal and family sick leave
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