Director & Actuary II

Location: This role requires associates to be in-office 3 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. 

The Director & Actuary II is responsible for directing actuarial research required to identify and solve actuarial problems for a region.

How you will make an impact:

• Manages actuarial model development and maintenance.

• Manages actuarial data delivery and support. Conducts experience analysis.

• Lead evolution of network discount analysis and total-cost-of-care measurement and modeling initiatives in partnership with senior actuarial leaders and key carrier/vendor partners.

• Act as national point-of-contact for network evaluation internally and externally leading carrier RFIs, Surveys, Hospital and Professional provider quality data and related national data acquisition and evaluation initiatives supporting network cost and quality evaluation in collaboration with practice experts and broking teams.

• Serve as national subject matter expert in high-profile client and prospect engagements

• IDM IT coordination. Monitors developments in actuarial techniques, researches laws and regulations applicable to actuarial science and insurance operations.

• Analyzes competitive developments in the marketplace and manages studies that underlie actuarial assumptions.

• Collaborate with internal partners in developing consulting collateral, POV, whitepapers, training and content. Mentor and train junior colleagues contributing to network analytics workstreams.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

• Travel up to 20% may be required.

Minimum Requirements:

• Requires a BA/BS and a minimum of 8 years of related professional/managerial experience; or any combination of education and experience, which would provide an equivalent background.

• Requires ASA/MAAA and FSA.

Preferred Skills, Capabilities, and Experience:

• Proven track record and recent industry and vendor knowledge in evaluating traditional health plans, emerging health plans, Value Based Care arrangements, surgical networks, evaluation of performance guarantees and shared-savings arrangements and related concepts preferred.

• Excellent writing and presentation skills, and ability to convey technical analyses and information in a clear manner to non-technical business audiences, including C-suite, Senior HR and Finance leadership preferred.

• Experience with consulting and evaluating impact of regulatory changes, including hospital and provider price transparency, No Surprises Act, Affordable Care Act, Medicare Reference Pricing, CMS value-based payments and other health reform and industry health innovation initiatives preferred.

• Experience serving large/complex Fortune 500 organizations, as well as developing scaled solutions for smaller self-insured groups preferred.

• Ability to review technical work product and mentor junior technical staff including analysts, data scientists, statisticians and actuaries preferred.

• Experience working with large health claims datasets or gathering datasets. Experience with evaluation of provider quality and quality data. Experience with HIPAA and de-identification standard methodologies preferred.

• Well-developed skills in project management/planning and partner management preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $166,320 to $272,160.

Locations: District of Columbia (Washington, DC), Illinois, New York.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and 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 and financial education resources, to name a few.

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.

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.

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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.