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Actuarial Director – Level Funding Pricing

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Elevance Health

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Location:
United States of America , Indianapolis ▼

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Category:
Insurance

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The Actuarial Director – Level Funding Pricing is responsible for identifying, evaluating and responding to financial risks inherent in the pricing and development of health insurance products.

Job Responsibility:

  • Prepares and interprets data and related formulae
  • Monitors trend of profit and profitability by line of business and/or product
  • Serves on major, multi-function projects as Actuarial representative
  • Organizes and directs the staffing and workflow of the section
  • Light travel may be required

Requirements:

  • Requires a BA/BS degree and minimum of 6 years related experience
  • or any combination of education and experience, which would provide an equivalent background
  • FSA required from the Society of Actuaries (SOA)

Nice to have:

  • Prior pricing experience working within stop loss/level-funded space strongly preferred
  • Experience with leading and developing pricing strategies using data and analyses to guide underwriting decision-making within the stop loss/level-funded space preferred
  • Ability to be innovative and assess potential AI or predictive tools to assist in risk identification and/or scoring methods to guide pricing decisions preferred
  • Small group pricing experience within level-funded preferred
  • Excellent writing and presentation skills, and ability to convey technical analyses and information in a clear manner to non-technical business audiences, including C-suite, Senior HR, Finance leadership preferred, and potential external Producer partners and/or clients preferred
  • Experience with consulting and evaluating impact of regulatory changes, including hospital and provider price transparency, No Surprises Act, Affordable Care Act, Medicare Reference Pricing, CMS value-based payments and other health reform and industry health innovation initiatives preferred
  • Experience serving large/complex Fortune 500 organizations, as well as developing scaled solutions for smaller self-insured groups preferred
  • Ability to review technical work product and mentor junior technical staff including analysts, data scientists, statisticians and actuaries preferred
  • Experience working with large health claims datasets or gathering datasets
  • Experience with evaluation of provider quality and quality data
  • Experience with HIPAA and de-identification standard methodologies preferred
  • Well-developed skills in project management/planning and partner management preferred
What we offer:
  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Additional Information:

Job Posted:
January 23, 2026

Expiration:
February 02, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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