Anticipated End Date:

Position Title:

Job Description:

Actuarial Analyst II

Location: This role requires associates to be in-office 1 - 2 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 if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Actuarial Analyst II is responsible for completing projects and performs complex actuarial studies. This role plays a key part in ensuring accurate, timely, and well-supported Medicare revenue reporting. The Actuarial Analyst II will help connect actuarial revenue analytics with financial close processes, providing critical insight into revenue performance, settlement expectations, and key drivers of financial results. This role will also focus on GRS revenue support and analytics.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Obtains, verifies, analyzes and models data including risk reporting and forecasting.
• Support Medicare revenue Outlook processes, including the development, validation, and documentation of revenue forecasts.
• Perform month-end revenue calculations and analyses, including revenue run rate calculations, final settlement estimates, and mid-year settlement estimates.
• Prepare, review, and maintain actuarial models used to support Medicare revenue accruals, settlements, and financial reporting.
• Analyze revenue trends, membership changes, risk adjustment impacts, settlement drivers, and other key components affecting Medicare revenue.
• Partner closely with Finance and Accounting teams to support month-end close, journal entry inputs, accruals, reconciliations, and variance explanations.
• Communicate revenue results, key drivers, and emerging risks or opportunities to actuarial leadership and cross-functional stakeholders.
• Assist in the preparation of recurring financial exhibits, revenue dashboards, settlement summaries, and executive-level reporting materials.
• Research and explain actual-to-expected revenue variances, including changes related to run rate, settlement estimates, membership, risk scores, and timing differences.
• Ensure calculations are accurate, well-controlled, and appropriately documented in accordance with internal governance standards.
• Identify opportunities to improve revenue models, reporting processes, controls, documentation, and workflow efficiency.
• Support ad hoc analyses related to Medicare revenue, forecasting, settlement impacts, and financial performance.

Minimum Requirements:

Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1 year related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• SQL/Python experience preferred.
• Pricing/Valuation experience preferred.
• Risk adjustment experience preferred.

Job Level:

Workshift:

Job Family:

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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.