Horizon Blue Cross & Blue Shield

Actuarial Analyst III

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.
  • 4+ years of actuarial and/or statistics experience or Associate level in the Society of Actuaries (ASA).
  • ASA candidate preferred.
  • Expert knowledge of Excel; familiarity with Access or other databases.
  • Experience with SAS or other programming languages preferred.

Responsibilities

  • Collect, analyze, and interpret financial, claims, membership, and utilization data.
  • Develop and maintain recurring actuarial reports, dashboards, and analyses.
  • Support monitoring and reporting of key financial and operational metrics, including IBNR estimates.
  • Perform trend analyses to evaluate healthcare costs, utilization, and membership.
  • Support forecasting activities related to medical costs and financial performance.
  • Develop, maintain, and enhance actuarial pricing models.
  • Collaborate with cross-functional teams to present findings and support strategic initiatives.

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

The Actuarial Analyst III is an experienced actuarial professional responsible for performing advanced actuarial analyses, forecasting, financial modeling, pricing, and reporting activities that support key business decisions across the organization. This role applies actuarial principles and statistical techniques to evaluate financial performance, analyze healthcare utilization trends, develop pricing recommendations, and support strategic initiatives.

The Actuarial Analyst III serves as a subject matter resource within the department, working independently on complex assignments while collaborating with actuarial leadership and business partners to deliver data-driven insights that support organizational goals.

What You'll Do

Data Analysis & Reporting
  • Collect, analyze, and interpret financial, claims, membership, and utilization data to support actuarial studies and business initiatives.
  • Develop and maintain recurring actuarial reports, dashboards, and analyses.
  • Support the monitoring and reporting of key financial and operational metrics, including Incurred But Not Reported (IBNR) estimates.
  • Validate data integrity and ensure accuracy of actuarial analyses and reporting.


Trend Analysis & Forecasting
  • Perform trend analyses to evaluate healthcare cost, utilization, and membership patterns.
  • Support forecasting activities related to medical costs, enrollment, utilization, and financial performance.
  • Analyze historical data and emerging trends to assist in projecting future business outcomes.
  • Identify opportunities and risks through quantitative analysis and predictive modeling.


Pricing & Financial Analysis
  • Develop, maintain, and enhance actuarial pricing models.
  • Support product pricing and financial evaluations, including:
  • Rate development and regulatory filings
  • Benefit adjustment factor analysis
  • Fee schedule evaluations
  • New product pricing
  • Cost and profitability analyses
  • Assist in assessing the financial impact of benefit, provider, and regulatory changes.
  • Provide analytical support for strategic business initiatives and product development efforts.


Professional Development & Collaboration
  • Apply actuarial principles and methodologies to solve complex business challenges.
  • Collaborate with Finance, Underwriting, Product Development, Operations, and other business teams.
  • Present analytical findings and recommendations to actuarial leadership and business stakeholders.
  • Support process improvement initiatives designed to enhance efficiency, reporting accuracy, and analytical capabilities.
  • Continue professional actuarial development through exam progression and technical skill enhancement.


What You Bring

Education/Experience:
  • Bachelor degree is required preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.
  • Requires 4+ 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.
  • Prefers working knowledge of Access or other database application.
  • Prefers experience with SAS or other programming language.
  • Requires knowledge of data analysis and Actuarial principles.

Skills and Abilities:
  • Requires good 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:
$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:
  • 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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