Staff Vice President (VP) Pharmacy Actuary jobs in United States
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Elevance Health · 5 hours ago

Staff Vice President (VP) Pharmacy Actuary

Elevance Health is a health company dedicated to improving lives and communities. The Staff Vice President (VP) Pharmacy Actuary will provide support for CarelonRx through trend and rebate analytics, linking Cost of Care initiatives to financial statements, while managing a team of over 10 direct reports.

Health CareHealth InsurancePersonal HealthWellness
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H1B Sponsor Likelynote

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
Hires, trains, coaches, counsels, and evaluate performance of direct reports

Qualification

Pharmacy actuarial experienceCost of Care analyticsProvider network contractingClaims analysisAnalytical skillsLeadershipTeam managementCommunication skills

Required

Requires a BA/BS in Mathematics, Statistics or related field
Minimum of 10 years of related professional/management experience
Any combination of education and experience, which would provide an equivalent background

Preferred

MBA, MHA, MA, FSA preferred
Prior experience with Cost of Care, provider network contracting, provider networks, claims, finance, and operations preferred
Pharmacy actuarial experience strongly preferred

Benefits

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
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

Company

Elevance Health

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Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)

Funding

Current Stage
Public Company
Total Funding
unknown
2001-10-30IPO

Leadership Team

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Gail K. Boudreaux
President and CEO
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Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
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Company data provided by crunchbase