Our Front of House positions may include a few different positions. Those included are: The Busser duties include: Prepares dining room for guests by cleaning tables and chairs; Maintains table setting by removing plates…
Our Hourly Team Member role can encompass a range of different responsibilities depending on your interest: The food runner duties include: Delivers orders to guests in the dining room and ensures they have what they nee…
Anticipated End Date: 2026-07-17 Position Title: Credentialing Analyst, Infusion Clinics/Nursing Job Description: Credentialing Analyst, Infusion Clinics/Nursing Hybrid: This role requires associates to be in-office 1-2 …
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Division:HEALTH AND HOSPITAL CORPORATION Sub-Division: MCPHD FLS Status: [[JOB_REQUISITION_CUSTOM27]] Req ID: 26321 Marion County Public Health Department is an organization that celebrates diversity, and seeks to employ…
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Pharmacy Technician - Data Entry - Full-time Onsite
Indianapolis, Indiana, United States · On-site
$18/hr–$22/hr
Mid level
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Our Front of House positions may include a few different positions. Those included are: The Busser duties include: Prepares dining room for guests by cleaning tables and chairs; Maintains table setting by removing plates…
The line cook duties include: Maintains food preparation areas, cooking surfaces, and utensils; Manages sanitation, health, and safety standards in work areas; Reads food orders and/or receives verbal instructions requir…
Skills: Food Preparation, Cooking, Sanitation Standards, Health and Safety Compliance, Station Management
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Full-time
bachelor degree, professional certificate
Merit increases, Paid holidays, Paid time off, Incentive bonus programs, Medical insurance, Dental insurance
Posted 25d ago
Apply by Jul 17
~40 hrs/week
Responsibilities
Perform complex actuarial studies to evaluate Medicare Part B and Part D pharmacy financial performance and trend analytics. Provide actionable insights to influence pricing strategy, product design, and executive decision-making.
Requirements
Requires a BA/BS degree, a minimum of 4 years of related experience, and an Associate of the Society of Actuaries (ASA) designation. Preferred experience includes PBM, Medicare Part D, and proficiency in SQL, Python, and Power BI.
Hybrid: This role requires associates to be in-office1-2days 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, unlessaccommodationis granted as required by law.
CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.
The Associate Actuary (Medicare Pharmacy Trend Analytics) - CarelonRx completes the most diverse and complex projects and performs highly complex actuarial studies to evaluate and explain Medicare Part B and Part D pharmacy financial performance.
This role serves as the subject matter expert for Medicare pharmacy spend and trend performance, providing insights that directly influence pricing strategy, product design, financial forecasting, and executive decision-making.
How you will make an impact:
Prepares and presents Medicare Part D and Part B drug spend and trend analyses for Medicare Individual and Group (GRS) businesses, communicating key cost drivers, product mix, member demographics, population shifts, and seasonality to support business decisions.
Delivers actionable pharmacy spend and trend insights through recurring trend reporting, cohort studies, benefit phase analyses, and ad hoc analyses to identify emerging trends and assess Medicare pharmacy financial performance.
Performs key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects.
Designs and completes special projects such as developing and maintaining experience-rating formulae and creating and/or reviewing alternative settlement formulae and risk-sharing models.
Responsible for recommendations on pricing, marketing, product design, claims, premium, and enrollment administration of the business unit.
Responsible for valuation support for the business unit by interpreting financial results and variances from forecast to identify product and segment behavior and assist in the risk management of the business unit.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 4 years of related experience; or any combination of education and experience that would provide an equivalent background.
Associate of the Society of Actuaries (ASA) designation required.
Experience analyzing Medicare Part B drug spend and trend.
Strong presentation and communication skills with the ability to explain complex Medicare Part B and Part D pharmacy spend and trend drivers to executive and health plan leadership.
Experience interpreting pharmacy financial performance and communicating actionable insights to business stakeholders.
Experience performing pharmacy spend and trend analyses, cohort studies, benefit phase analyses, and retrospective trend reporting.
Experience evaluating the financial impact of CMS programs and Medicare legislation, including the Inflation Reduction Act (IRA).
Experience with Databricks, SQL, Python, Snowflake, and Power BI.
Experience working with large healthcare claims datasets and developing analytical reporting and visualization solutions.
Job Level:
Non-Management Exempt
Workshift:
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 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.
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.
Related keywords
ActuaryASAMedicare Part BMedicare Part DPBMPharmacy Benefit ManagementInflation Reduction ActIRACMSDatabricksSQLPythonSnowflakePower BIExperience-RatingRisk-Sharing Models
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.
Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.
We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
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