Health Actuarial Analyst III

Elevance Health seeks an Actuarial Analyst III to support pricing, forecasting, and risk analyses across our health plans. In this role, you will build and refine actuarial models, analyze large healthcare datasets, develop premiums and reserves, and evaluate trend, utilization, and risk adjustment to ensure accuracy and affordability. You will translate complex findings into clear insights for leadership, support product and network strategies, and contribute to filings and compliance. Collaborating in a mission-driven, inclusive culture, you'll help advance whole-health solutions while growing your actuarial career with strong benefits and learning opportunities.

Responsibilities

• Develop and maintain actuarial models for pricing, reserving, and forecasting health plan performance
• Analyze medical and pharmacy claims, membership, and risk data to identify trends and cost drivers
• Support premium rate development and product pricing, including documentation and assumptions
• Prepare actuarial exhibits, forecasts, and reports for leadership and regulatory filings
• Evaluate risk adjustment, utilization, and trend impacts on financial results
• Collaborate with finance, underwriting, product, and network teams to support business decisions
• Translate complex actuarial and statistical findings into clear, actionable recommendations
• Ensure work complies with regulatory requirements and actuarial standards of practice
• Contribute to automation, process improvements, and data quality initiatives
• Support exam progress and continuous learning within a collaborative actuarial team

Required Skills

• Actuarial modeling
• Health insurance pricing
• Claims data analysis
• Risk adjustment methodologies
• Reserving techniques
• Advanced Excel
• SQL or SASPredictive analytics
• Financial forecasting
• Regulatory and compliance knowledge