Staff VP, Pharmacy Actuary & Cost of Care Analytics

Staff Vice President (VP) Pharmacy Actuary

Anticipated End Date: 2026-01-11

Location

May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, Norfolk, VA or Woodland Hills, CA. Leaders must be in-office at least 3 days per week, with flexibility for virtual work. Candidates outside a reasonable commuting distance are not considered unless an accommodation is granted under law.

Summary

Provide support for CarelonRx including trend and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements including operating gain and trends.

Team Scope

10+ direct reports / 20+ total FTE's

Position Responsibilities

• Complete pharmacy trend and rebate analytics for Medicaid, Medicare and/or Commercial and improve reporting and linkage to financials.
• Drive strategy in development of new tools to support CarelonRX segments.
• Provide analytic support for formulary decisions.
• Calculate the value of Cost of Care including pulling data, building models, and developing appropriate assumptions.
• Report the Cost of Care value and show the tie to trends and financial results.
• Hire, train, coach, counsel, and evaluate performance of direct reports.

Position Requirements

Requires a BA/BS in Mathematics, Statistics or related field and a minimum of 10 years of related professional/management experience; or an equivalent combination of education and experience. MBA, MHA, MA, FSA preferred.

Preferred Skills, Capabilities and Experiences

• Prior experience with Cost of Care, provider network contracting, provider networks, claims, finance, and operations preferred.
• Pharmacy actuarial experience strongly preferred.

Corporate Title

Staff VP Actuarial Cost of Care and Analytics

Salary and Locations

For candidates working in person or remotely in the designated locations, the salary range for this specific position is $183,040 to $329,472.

Locations: California; Illinois, Maryland; Massachusetts; New Jersey; New York.

Benefits

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.

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 may be required to be onsite several times per week.

Vaccination Requirement

Elevance Health requires all new candidates in certain patient/member-facing roles to be vaccinated against COVID‑19 and influenza. If not vaccinated, the offer will be rescinded unless an acceptable explanation is provided.

Job Level

Staff/Regional VP

Job Family

ACT > Actuarial

Equal Employment Opportunity

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. 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.