Horizon Blue Cross & Blue Shield

Actuarial Analyst II (Stop Loss)

Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Mathematics, Statistics, Actuarial Sciences, or related field
  • 2+ years of Actuarial or statistics experience
  • Working towards ASA designation preferred
  • Experience with Level Funded products and medical Stop Loss or Reinsurance preferred
  • Expertise in Excel and familiarity with SQL, SAS, Tableau, or Power BI

Responsibilities

  • Design and perform trend analysis
  • Conduct pricing, underwriting support, reserving, and forecasting for Stop Loss and Level Funding
  • Support forecasting activities
  • Assist in new business and renewal pricing decisions
  • Develop pricing models and analyze requests regarding benefits and fees
  • Collect and analyze data for financial and utilization reporting
  • Collaborate with internal and external partners to identify opportunities and manage risks
  • Facilitate meetings to present actuarial analyses and findings

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement
Full Job Description
About the Role

This is the mid-level analyst position within Actuarial department. Includes all aspects of actuarial work, as related to Stop Loss and Level Funded groups. Responsible for pricing, UW support, reserving and forecasting for both Specific and Aggregate Stop Loss, as well as Level Funding.

What You'll Do

  • Design, perform or support trend analysis
  • Perform pricing, UW support, reserving and forecasting for both Specific and Aggregate Stop Loss, as well as Level Funding.
  • Perform or support forecasting
  • Support new business and renewal pricing decisions, including underwriting consultation and risk assessment.
  • Develop or support the development of pricing models and support pricing requests which may include, benefit adjustment factors, fee schedule analysis, new product pricing, etc.
  • Collect and analyze data to use for financial and utilization analysis, reporting, and monitoring (including IBNR)
  • Partner with internal and external customers to develop creative solutions and strategies, uncover opportunities and minimize risks
  • Support corporate strategies and business plan development for membership growth & financial strength
  • Lead meetings with business partners providing transparency in and an understanding of the actuarial analyses and results


What You Bring

Education/Experience:
  • Requires a Bachelor's degree, 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.
  • Working towards an ASA highly preferred.
  • Experience with Level Funded products, medical Stop Loss or Reinsurance products preferred.


Knowledge:
  • Excellent knowledge of features of Stop Loss product, from both Actuarial and UW perspective.
  • Knowledge of the Reinsurance industry
  • Requires expert knowledge of Excel.
  • Experience with SQL, SAS, Tableau, Power BI, or other analytical/reporting tools preferred.
  • Requires strong working knowledge of data analysis and Actuarial principles.
  • Requires in depth knowledge of the healthcare industry.


Skills & 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.


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

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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