About the Role
This senior level actuary analyst position resides within the Actuarial Department and focuses on Government Programs (Medicare, PDP, DSNP, Medicaid) 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.
Additionally, this role serves as a key AI integration partner responsible for driving the adoption and effective use of AI across actuarial trend work. The individual will apply expertise in trend development and identification of key cost and utilization drivers to shape high-value use cases, deliver small-scale AI solutions, advance innovation, monitor adoption outcomes, and escalate misalignment or stalled progress.
What You'll Do
- Assist in the development of forecasted trends.
- 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.
- Conduct experience studies and detailed analyses to identify cost drivers, utilization patterns, and emerging trends.
- Proactively identifies, shapes, and documents AI use cases in partnership with business unit stakeholders, ensuring proposed opportunities are grounded in business need, aligned to the business unit's strategy.
- Accountable for AI adoption and utilization within the business unit
- 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.
- 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 4 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.
- Knowledge of artificial intelligence concepts, tools, and platforms at a practical working level, including generative AI, large language models, prompt engineering, AI assistants, and low-code/no-code AI development tools.
- ASA highly preferred.
Additional licensing, certifications, registrations:
- ASA Certification preferred.
Knowledge:
- 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.
- Requires strong mathematical skill and statistical analysis abilities.
- Requires good judgment and problem solving skills.
Salary Range:
$87,300 - $119,070
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:
