Horizon Blue Cross & Blue Shield

Actuarial Analyst II

US-AnywhereRemote in Newark, NJ
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or Data Science required.
  • Minimum of two years in actuarial, statistical, or healthcare analytics roles.
  • Progress toward Associate of the Society of Actuaries (ASA) is highly preferred.
  • Experience in health insurance or managed care is advantageous.
  • Proficiency in Microsoft Excel is essential.

Responsibilities

  • Assist in developing Commercial Trend Forecasting methods.
  • Evaluate the financial impacts of proposed benefit and cost-sharing changes.
  • Conduct pricing analyses for various product lines.
  • Analyze legislative and regulatory changes affecting operations.
  • Support additional actuarial projects when assigned.
  • Collaborate with stakeholders to incorporate feedback into analyses and reports.
  • Prepare clear reports and presentations for management.

Benefits

  • Comprehensive health benefits including Medical, Dental, and Vision.
  • Retirement Plans to secure future savings.
  • Generous Paid Time Off (PTO) policy.
  • Incentive Plans to reward performance.
  • Wellness Programs to promote employee health.
  • Paid Volunteer Time Off to encourage community service.
  • Tuition Reimbursement for continuing education.
Full Job Description
About the Role

This mid-level actuary analyst position resides within the Actuarial Department and focuses on Commercial Trend Forecasting. The role is responsible for supporting the evaluation of proposed benefit and cost-sharing changes, conducting pricing studies, assessing the impact of state and federal legislative changes, and contributing to various actuarial initiatives. The position applies actuarial principles, mathematical modeling techniques, and statistical analysis to evaluate risk and support sound business and pricing decisions.

What You'll Do

  • Assist in the development of Commercial Trend Forecasting. .
  • Evaluate proposed benefit and cost-sharing changes and assess their financial impact.
  • Conduct pricing analyses and studies for product lines of business.
  • Analyze the impact of proposed state and federal legislative and regulatory changes.
  • Support additional actuarial projects and initiatives as assigned.
  • Collaborate with internal stakeholders and incorporate feedback from cross-functional business partners.
  • Prepare reports and presentations that communicate findings, recommendations, and key insights to management.
  • Conduct experience studies and detailed analyses to identify cost drivers, utilization patterns, and emerging trends.
  • Complete ad hoc modeling, forecasting, and analytical projects as needed.


What You Bring

Education/Experience:
  • Bachelor's degree required, preferably in Actuarial Science, Mathematics, Statistics, Economics, Data Science, or a related quantitative field.
  • Minimum of two years of actuarial, statistical, healthcare analytics, or related experience required.
  • Progress toward Associate of the Society of Actuaries (ASA) designation is highly preferred.
  • Health insurance, healthcare, or managed care experience is preferred.


Additional licensing, certifications, registrations:
  • ASA candidate a plus.


Knowledge/Skills:
  • Advanced proficiency in Microsoft Excel required.
  • Experience with SAS, SQL, R, Python, or similar analytical/programming tools preferred.
  • Working knowledge of actuarial concepts, data analysis, and statistical methodologies preferred.
  • Strong analytical, mathematical, and statistical problem-solving skills.
  • Excellent verbal and written communication skills, with the ability to present complex information clearly and effectively.
  • Demonstrated critical thinking, sound judgment, and attention to detail.
  • Ability to work independently while managing multiple priorities in a deadline-driven environment


Salary Range:
$79,100 - $105,945

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement


Disclaimer:

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

About Horizon Blue Cross & Blue Shield

Horizon Blue Cross Blue Shield of New Jersey is a health insurance company that provides coverage to individuals and businesses in New Jersey. The company offers a variety of health plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. Horizon BCBSNJ also provides wellness programs and resources to help members manage their health. The company is committed to improving the health of the communities it serves and has partnered with local organizations to address health disparities and promote healthy living.
Learn more about Horizon Blue Cross & Blue Shield
Size
5,500 employees
Industry

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