Healthcare Trend & Analytics Consultant

Location: This 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. 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, unless an accommodation is granted as required by law.

The Trend & Analytics Business Analyst III (Actuarial Business Analyst III) is a 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. This also serves as a leader in the adoption of new tools, technologies, and analytical approaches, including artificial intelligence, automation, and advanced data visualization.

PLEASE NOTE: This position is not eligible for current or future visa sponsorship.

How you will make an impact:

• Identifies, monitors, and analyzes major healthcare trends within an assigned business area, including cost, utilization, clinical, operational, financial, and/or customer-impacting trends.

• Proactively investigates emerging issues, anomalies, and performance changes to determine root causes and quantify business impact.

• Develops clear, actionable insights and recommendations that help customers and business partners understand trends and determine potential next steps.

• Translates complex data and analytics into concise, meaningful narratives for senior leaders, business partners, and non-technical audiences.

• Develops and enhances reporting, dashboards, analytical models, and monitoring tools to improve visibility into key trends and performance indicators.

• Adoption of new tools, technologies, and analytical capabilities, including AI-enabled tools, automation, self-service analytics, and advanced visualization platforms.

• Promotes responsible and effective use of AI and emerging technologies to improve analytical quality, efficiency, and insight generation.

• Identifies opportunities to improve analytical processes, standardize methodologies, reduce manual work, and increase consistency across reporting and analysis.

• Anticipates customer needs and proactively surfaces insights, risks, and opportunities before they are formally requested.

• Performs key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects.

• Analyzes and implements risk contracts including conducting experience analyses, pricing, filing and settlement work; and prepares management reports supporting new capitation initiatives.

• Assists in training of actuarial trainees, analysts and specialists.

• Coordinates/directs special actuarial projects.

• Healthcare analytics experience.

• Experience with utilization management data strongly preferred.

• 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.

• 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.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $94,560 to 141,840.

Location(s): Virginia

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).

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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.