
Actuarial Analyst I, Medicaid Pricing
Elevance HealthSupport Medicaid pricing at Elevance Health by analyzing rate impacts, projections, and actuarial models. Validate data used to inform healthcare pricing decisions.


Support Medicaid pricing at Elevance Health by analyzing rate impacts, projections, and actuarial models. Validate data used to inform healthcare pricing decisions.

Build and maintain secure REST APIs, user interface components, and enterprise applications at Elevance Health. The role spans system design, testing, stakeholder requirements, and on-call support.

Support Elevance Health customers with insurance benefits, eligibility, provider contract, and claims questions. Resolve inquiries through phone and digital channels while documenting cases and coordinating timely solutions.

Support Connecticut Medicaid behavioral health quality measurement and performance improvement as a senior data analyst. Analyze claims data and build Tableau dashboards for providers and other stakeholders.

Lead healthcare compliance audits, investigations, risk assessments, and corrective actions for Elevance Health. This hybrid role partners with regulators, clients, vendors, and senior leaders to strengthen compliance programs.

Manage payer accounts, contractual obligations, reporting, and customer service for Elevance Health’s BioPlus Specialty Pharmacy. This full-time hybrid role supports relationships with health plans and pharmacy benefit managers.

Support specialty pharmacy customers with prescription, claims, and membership questions in a bilingual service role. Manage requests across phone, written correspondence, and digital queues.

Support CarelonRx members and healthcare professionals by processing prescriptions, handling prior authorizations, and addressing pharmacy benefits questions. Help maintain accurate records and compliance with Medicare requirements.

Senior Business Intelligence Developer creating healthcare analytics and reporting solutions at Elevance Health. Builds SQL data solutions and supports specialty pharmacy data integrations.

Analyze Medicaid rates, statistical data, projections, and pricing models for Elevance Health in a hybrid actuarial analyst role.

Senior engineer responsible for enterprise encryption, tokenization, key management, and data protection across hybrid-cloud and on-premises environments at Elevance Health. The role combines security architecture, automation, integration troubleshooting, incident response, and operational support in a hybrid work setting.

Develop production-scale machine learning, generative AI, and large language model solutions for Elevance Health’s healthcare business. Build RAG, agentic AI, evaluation, and Responsible AI capabilities for enterprise applications.

Elevance Health компаниясында Medicare жұлдыздық рейтингтері, CAHPS және пациент тәжірибесінің сапа бағдарламаларына жетекшілік етіңіз. Сәйкес клиникалық құралдар әзірлеп, жеткізушілерді басқарыңыз және бағдарлама нәтижелерін өлшеңіз.

Кодтау талаптарына сәйкестікті, алаяқтық, ысырап және теріс пайдалану тәуекелдерін бағалау үшін талаптар мен медициналық жазбаларды тексеріңіз. Тексерулерге қолдау көрсетіп, шығындарды бақылау шараларын ұсыныңыз және денсаулық сақтау талаптарын бақылауды күшейтуге көмектесіңіз.

Elevance Health компаниясында қатысушылар бағдарламаларын, нәтижелерді және құндылықты жақсарту үшін денсаулық сақтау аналитикасын қолданыңыз. Болжамды модельдер құрып, бағдарламаларды бағалаңыз және өнім мен клиникалық стратегияға негіз болатын зерттеулер жүргізіңіз.