Risk Adjustment Actuarial Analyst II - Advanced Analytics

Elevance Health
Gilbert, AZ
**Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **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 **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties may include, but are not limited to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions. + Prepares management reports for risk adjustment related projects. + Collects and documents reporting and programming requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer. + Develops ad hoc risk adjustment reports using SAS and SQL as needed. + Attends and actively participates in internal risk adjustment analytics and risk adjustment operations meetings. + Participates in peer-to-peer review process to reduce report writing errors and rework. **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:** + 1 year or more of risk adjustment analytics experience for government programs strongly preferred. + Proficiency in SAS and SQL or experience using other programming languages and an aptitude and desire to learn these programming languages quickly. + Proven written and verbal communication skills in a collaborative environment. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $71,136 to $134,784 annually. Locations: Colorado; Columbus, OH; Illinois; New Jersey; Maryland; Minnesota; Massachusetts; and 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 [email protected] 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.
Posted 2025-12-03

Recommended Jobs

Evening Food and Beverage Attendant

Drury Hotels
Chandler, AZ

Position starts at $18.00 per hour and up based on experience! Property Location: S. Price Road - Chandler, Arizona 85286 You belong at Drury Hotels. Getting a job is just the beginning. Fin…

View Details
Posted 2025-12-11

Urgent Care Physician (MD/DO) - Corvallis, OR

Optum
Phoenix, AZ

Explore opportunities at The Corvallis Clinic , part of the Optum family of businesses. For more than 75 years, our multi-specialty group has been committed to delivering exceptional care to our pat…

View Details
Posted 2025-10-23

Refrigeration Senior Service Technician

Dover Corporation
Phoenix, AZ

Job Title: Refrigeration Senior Service Technician   Location: Phoenix, AZ   The AMS Group is proud to be part of Dover Food Retail— a leading manufacturer and provider of innovative solut…

View Details
Posted 2025-10-02

Associate Dentist | Bullhead City, AZ

Affordable Care
Bullhead City, AZ

**Overview** **This is your opportunity to grow your career with the nation's largest network of implant providers!** As a dentist in our network, you not only change smiles..... you change lives! Ou…

View Details
Posted 2025-12-11

Registered Nurse RN Medical Surgical

Banner Health
Phoenix, AZ

**Primary City/State:** Phoenix, Arizona **Department Name:** M/S-Surgical 5A **Work Shift:** Varied **Job Category:** Nursing Additional Job Description Find your path in health care. We want to chan…

View Details
Posted 2025-11-14

Material Handler

DSV - Global Transport and Logistics
Chandler, AZ

DSV - Global transport and logistics In 1976, ten independent hauliers joined forces and founded DSV in Denmark. Since then, DSV has evolved to become the world's 3rd largest supplier of global sol…

View Details
Posted 2025-12-15

Staff Hydrogeologist (Analyst) (Tucson)

Montgomery & Associates
Tucson, AZ

Staff Hydrogeologist (Analyst) Montgomery & Associates, Inc. (M&A) is seeking a full-time early-career hydrogeologist to join our Tucson office. The role includes processing and analyzing …

View Details
Posted 2025-12-10

Electrical BIM Lead (Electronics)

Jacobs
Tempe, AZ

At Jacobs, we don't settle -- we are always looking beyond raising the bar and delivering with excellence. We apply our expertise and knowledge as we look into the future with optimism and focus. We d…

View Details
Posted 2025-11-14

Senior Representative, Provider Services

Molina Healthcare
Mesa, AZ

**JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in…

View Details
Posted 2025-11-13

Registered Nurse, Home Health - Part Time, Per Diem

BAYADA Home Health Care
Prescott, AZ

FLEXIBLE SCHEDULE COMPREHENSIVE ORIENTATION SUPPORTIVE TEAM Join our Yavapai County Home Health office, and be a part of a quality-focused interdisciplinary care time, while providing 1.1 care to …

View Details
Posted 2025-12-11