Horizon Blue Cross Blue Shield of New Jersey · 2 hours ago
Actuarial Analyst III
Newark, NJ
Full-time
Onsite
Mid, Senior Level
$86K/yr - $117K/yr
4+ years expHorizon Blue Cross Blue Shield of New Jersey is a health solutions leader committed to improving healthcare quality and member experience. They are seeking a Senior Actuarial Analyst to support pricing, underwriting, reserving, and forecasting for Stop Loss and Level Funded groups.
Health Care
Responsibilities
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
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)
Develop or support the development of pricing models and support pricing requests which may include rate filings, benefit adjustment factors, fee schedule analysis, new product pricing, etc
Partner with internal 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
Qualification
Required
Bachelors degree, 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
Excellent knowledge of features of Stop Loss product, from both Actuarial and UW perspective
Knowledge of the Reinsurance industry
Requires expert knowledge of Excel
Requires strong working knowledge of data analysis and Actuarial principles
Requires in depth knowledge of the healthcare industry
Requires excellent oral and written communication skills
Requires strong analytical thinking
Requires strong mathematical skills and statistical analysis abilities
Requires good judgment and problem solving skills
Requires strong leadership skills
Preferred
Prefer Associate level in the Society of Actuaries (ASA)
Experience in health insurance is preferred
Stop Loss or Level Funded experience highly preferred
ASA preferred
Prefers working knowledge of Access or other database application
Experience with SAS or other programming language
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Company
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary St. Hilaire
President & Chief Executive Officer
Recent News
2025-12-29
2025-12-25
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