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Elevance Health · 1 day ago

Staff Vice President (VP) Pharmacy Actuary

St Louis, MO

Full-time

Hybrid

Senior Level, Lead/Staff

$183K/yr - $329K/yr

10+ years exp

Elevance Health is a health company dedicated to improving lives and communities. They are seeking a Staff Vice President (VP) Pharmacy Actuary to provide support for CarelonRx, including trend and rebate analytics, and to ensure a clear linkage from Cost of Care initiatives to financial statements.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

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 managementLeadership skills

Required

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

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

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

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

Glassdoor3.6

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

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

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)