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Actuarial Analyst III

Elevance HealthIndianapolis, United States2mo ago
HybridMedicare AdvantagePricing & RatingExperience Studies

Role Summary

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HIGHLIGHTS

Health actuarial role supporting Medicare Advantage pricing and bid development in Indianapolis (hybrid). You will manage pricing models, perform experience studies, validate data, support CMS bid audits, and lead special projects. Requires a BA/BS, a minimum of four SOA exams passed, and at least 3 years of related experience.

JOB DESCRIPTION SUMMARY

  • Support Medicare Advantage pricing and bid development
  • Manage assigned pricing models and develop pricing assumptions
  • Validate data, troubleshoot issues, and assist CMS bid audits
  • Lead special projects and mentor junior analysts
  • Hybrid role — in-office 1–2 days per week (commuting distance required)

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid development
  • Conducting experience studies to support pricing
  • CMS bid desk reviews and audit support
  • Contract interpretation for vendor and benefit contracts

KEY REQUIREMENTS

  • BA/BS and passed a minimum of four SOA actuarial exams
  • Minimum of 3 years of related actuarial experience
  • Experience with Medicare Advantage pricing and bid development
  • Ability to manage pricing models, assumptions, and data validation

TECH STACK

  • Excel