Teams at Elevance Health

Perform actuarial and statistical analyses to support commercial rate determination, update pricing and forecasting models, validate and prepare data, assist with regulatory filings, mentor analysts, and contribute to new product pricing and special projects.

Lead analysis and design of highly complex business needs into application requirements, mentor junior consultants, manage high-impact projects, and travel up to 20% to worksites. Serve as liaison between business stakeholders and technical teams to define solutions and ensure delivery.

Audit inpatient medical records to evaluate coding and DRG assignment accuracy (MS-DRG, APR-DRG), generate recoverable claims, produce audit findings, and recommend process improvements using ICD coding expertise and auditing tools.