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Risk Adjustment Actuarial Analyst II – Advanced Analytics Job Opening In South Portland – Now Hiring Elevance Health


Job description

Job Description

:

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, Illinois, New Jersey, Maryland, Minnesota, 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.

    Job Level:

    Non-Management Exempt

    Workshift:

    1st Shift (United States of America)

    Job Family:

    ACT > Actuarial

    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 < 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.

    Required Skill Profession

    Mathematical Science Occupations


    • Job Details

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    Unlock Your Risk Adjustment Potential: Insight & Career Growth Guide


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    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Risk Adjustment in South Portland, United States, highlighting market share and opportunities for professionals in Risk Adjustment roles.

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    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Elevance Health adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Risk Adjustment Actuarial Analyst II – Advanced Analytics Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in South Portland. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for Risk Adjustment Actuarial Analyst II – Advanced Analytics?

    Key qualifications for Risk Adjustment Actuarial Analyst II – Advanced Analytics typically include Mathematical Science Occupations and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

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    Interview Tips for Risk Adjustment Actuarial Analyst II – Advanced Analytics Job Success

    Elevance Health interview tips for Risk Adjustment Actuarial Analyst II – Advanced Analytics

    Here are some tips to help you prepare for and ace your Risk Adjustment Actuarial Analyst II – Advanced Analytics job interview:

    Before the Interview:

    Research: Learn about the Elevance Health's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your Risk Adjustment Actuarial Analyst II – Advanced Analytics interview at Elevance Health, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Elevance Health's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

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