Trend & Analytics Consultant Senior (Actuarial Business Consultant)

Location The 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. Alternately, locations may be considered if candidates reside within a reasonable commuting distance. Candidates not within a reasonable commuting distance will not be considered unless an accommodation is granted as required by law. Position Overview Trend & Analytics Consultant Senior (Actuarial Business Consultant) is a senior‑level analytics role responsible for identifying, investigating, and explaining major trend drivers within an assigned business area. This role uses advanced analytical thinking, healthcare business knowledge, and data‑driven insights to uncover root causes, identify emerging issues, and inform internal and external customers of meaningful trends, risks, and opportunities. The position operates with a high degree of independence and is expected to proactively identify areas of concern, develop actionable recommendations, and influence business decisions. The consultant also serves as a leader in the adoption of new tools, technologies, and analytical approaches— including artificial intelligence, automation, and advanced data visualization— serving as a mentor and subject‑matter expert for junior analysts and cross‑functional partners. NOTE: This position is not eligible for current or future visa sponsorship. How You Will Make An Impact Identify, monitor, and analyze major healthcare trends within an assigned business area, including cost, utilization, clinical, operational, financial, and/or customer‑impacting trends. Proactively investigate emerging issues, anomalies, and performance changes to determine root causes and quantify business impact. Develop clear, actionable insights and recommendations that help customers and business partners understand trends and determine potential next steps. Translate complex data and analytics into concise, meaningful narratives for senior leaders, business partners, and non‑technical audiences. Lead complex analytical projects with limited direction, including defining the problem, determining the appropriate methodology, gathering and validating data, conducting analysis, and presenting findings. Serve as a senior analytical consultant to assigned business areas by helping frame business questions, identify key drivers, and evaluate potential solutions. Develop and enhance reporting, dashboards, analytical models, and monitoring tools to improve visibility into key trends and performance indicators. Lead adoption of new tools, technologies, and analytical capabilities, including AI‑enabled tools, automation, self‑service analytics, and advanced visualization platforms. Promote responsible and effective use of AI and emerging technologies to improve analytical quality, efficiency, and insight generation. Identify opportunities to improve analytical processes, standardize methodologies, reduce manual work, and increase consistency across reporting and analysis. Anticipate customer needs and proactively surface insights, risks, and opportunities before they are formally requested. Perform key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects. Design and complete special projects such as developing and maintaining experience‑rating formulae and creating and/or reviewing alternative settlement formulae and risk‑sharing models. Provide recommendations on pricing, marketing, product design, claims, premium, and enrollment administration of the business unit. Support valuation of the business unit by interpreting financial results and variances from forecast to identify product and segment behavior to aid in risk management. Minimum Requirements Requires a BA/BS in Mathematics, Statistics or a related field and a minimum of 8 years related experience in an actuarial environment performing financial reporting, rate development, evaluation of risk contingencies and/or trend projections; or any combination of education and experience, which would provide an equivalent background. Primary Duties And Responsibilities Healthcare analytics experience. Experience with utilization management data strongly preferred. Experience with Utilization Management systems and Behavioral Health programs highly desired. 4 years of database development and data management. Experience with Snowflake. Strong experience in MS SQL Server (2016 or newer). Proficiency in reporting and visualization tools (Tableau, Power BI, SSRS). Advanced SQL skills, including writing complex queries and stored procedures. Strong Excel and general data analysis skills. Excellent communication skills, project management/implementation, interpersonal and organizational skills. Demonstrated curiosity, initiative, and a strong desire to learn. Compensation & Locations For candidates working in person or virtually in the following locations, the salary range for this position is $103,360 to $179,520. Location(s): Virginia, Illinois, Maryland Benefits In addition to salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). We also provide a market‑competitive total rewards program that includes merit increases, paid holidays, paid time off, 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. Government Business Division Mandate If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a "sensitive position" work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role‑specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc., as stated by the Government Business Division in which they are employed. Hybrid Workforce Policy 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. Vaccination Requirement To protect the health of our associates and communities, 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. EEO Statement 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 View email address on click.appcast.io for assistance. Fair Chance and Supplemental Screening Policies 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. #J-18808-Ljbffr Elevance Health