Horizon Blue Cross & Blue Shield

Mgr, Actuarial II

Horizon Blue Cross & Blue Shield$125K — $170K *
US-AnywhereRemote in Newark, NJ
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Mathematics, Statistics, Actuarial Sciences, or a related field required.
  • 7+ years of actuarial and/or statistics experience required.
  • Attainment of Associate level in the Society of Actuaries (ASA) required.
  • Supervisory experience preferred.
  • Exposure to No Surprises Act (NSA) highly preferred.

Responsibilities

  • Lead the actuarial workstream for NSA, including forecasts and financial assessments.
  • Collaborate with internal teams to gather and analyze NSA data.
  • Develop documentation for NSA data sources and methodologies.
  • Create reports summarizing NSA trends and financial impacts.
  • Identify opportunities to improve data quality and streamline processes.
  • Integrate NSA data into actuarial forecasting and reporting.
  • Prepare analyses and presentations on NSA financial results and trends.

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 role will lead the newly created No Surprises Act (NSA) actuarial team, with responsibility for developing and overseeing actuarial forecasts, reserves, financial analyses, and reporting related to federal NSA activity. The Actuary Manager 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

  • Lead 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.
  • Lead and 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 required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field.
  • Requires 7+ years of Actuarial and/or statistics experience and attainment of Associate level in the Society of Actuaries (ASA).
  • Prefers supervisory experience.
  • Exposure to NSA highly preferred


Additional licensing, certifications, registrations:
  • ASA required


Knowledge:
  • Requires expert knowledge of Excel.
  • Requires advanced proficiency with SAS.
  • Requires trend, actuarial forecast and reserves experience.
  • Knowledge of NSA regulations


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.
  • Requires strong managerial skills.
  • Requires strong leadership skills.


Salary Range:
$125,000 - $170,625

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

Similar Jobs

More Jobs at Horizon Blue Cross & Blue Shield

More Finance & Insurance Jobs

Find similar Mgr, Actuarial II jobs: