Horizon Blue Cross & Blue Shield

Actuarial Analyst II

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

Qualifications

  • Bachelor's degree in Mathematics, Statistics, Actuarial Sciences, or related field required.
  • 2+ years of actuarial or statistics experience, or Associate level in Society of Actuaries (ASA).
  • Expert knowledge of Excel and advanced proficiency with SAS required.
  • Experience with trend analysis, actuarial forecasting, and reserves.
  • Knowledge of No Surprises Act (NSA) regulations preferred.

Responsibilities

  • Support NSA actuarial workstream, including forecasts and reserve estimates.
  • Partner with cross-functional teams to gather and validate NSA data for financial reporting.
  • Maintain documentation of NSA data sources and methodologies.
  • Create reporting packages summarizing NSA trends and financial impacts.
  • Identify opportunities to improve data quality and streamline processes.
  • Integrate NSA inventory and payment information into actuarial processes.
  • Prepare analyses and summarize key financial results and recommendations.

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision).
  • Retirement Plans.
  • Generous paid time off (PTO).
  • Incentive Plans.
  • Wellness Programs.
  • Paid Volunteer Time Off.
  • Tuition Reimbursement.
Full Job Description

About the Role

This mid level analyst role will support the newly created No Surprises Act (NSA) actuarial team, with a strong focus on data management, analytics and process ownership. This role will assist in developing actuarial forecasts, reserves, financial analyses, and reporting related to federal NSA activity, while developing a strong understanding of NSA data sources and supporting data quality and reliability. The Actuarial Analyst II will partner across Actuarial, Finance, Operations, Legal, HNS and vendor teams to improve data collection and monitoring processes, assess emerging financial impacts, and communicate key results, risks, and recommendations to stakeholders and senior leadership.

What You'll Do

  • Support the actuarial workstream for NSA, including forecasts, reserve estimates, liability monitoring, profitability analyses, and financial impact assessments.

  • Partner with Actuarial, Finance, Operations, Legal, HNS, and vendor contacts to gather, validate, and interpret data required for NSA financial analysis and reporting.

  • Develop and maintain documentation of NSA data sources, assumptions, methodologies, process flows, and reporting definitions to support consistency and auditability.

  • Create recurring reporting packages that summarize NSA inventory trends, liability movements, payment activity, financial impacts, and notable operational developments.

  • Identify opportunities to improve data quality, streamline data collection, reduce manual effort, and strengthen ongoing monitoring of NSA activity.

  • Integrate NSA inventory, liability, and payment information into actuarial reserving, forecasting, and financial reporting processes.

  • Prepare analyses, summaries, and presentation materials that clearly communicate NSA financial results, emerging trends, key risks, and recommended areas of focus.

  • Participate in NSA working sessions and stakeholder meetings to understand operational changes, evaluate financial implications, and provide actuarial perspective on strategic initiatives.

  • Monitor regulatory, operational, and claims-related developments that may affect NSA financial results and communicate findings to actuarial leadership.

  • Support ad hoc analyses and special projects across key actuarial functions, including reserving, pricing, forecasting, and other financial or business needs.

  • Support team members by setting priorities, reviewing analytical work, providing coaching, and ensuring timely delivery of high-quality NSA actuarial deliverables.

What You Bring

Education/Experience:

  • Bachelors degree is required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.

  • Requires 2+ years of actuarial and/or statistics experience or attainment of Associate level in the Society of Actuaries (ASA).


Additional licensing, certifications, registrations:

  • ASA candidate a plus.

Knowledge:

  • Requires expert knowledge of Excel.

  • Requires advanced proficiency with SAS.

  • Requires trend, actuarial forecast and reserves experience.

  • Knowledge of NSA regulations preferred

Skills and Abilities:

  • Requires excellent oral and written communication skills.

  • Requires strong analytical thinking.

  • Requires strong mathematical skill and statistical analysis abilities.

  • Requires good judgment and problem-solving skills.

  • Demonstrated ability and willingness to take ownership of complex data process, independently investigate issues and rive them through resolution.

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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