Job Description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role This mid level analyst role sits within the Actuarial Department and supports premium rate development for the Individual and Small Group markets. The position is responsible for assisting with the evaluating proposed benefit and cost sharing changes, conducting pricing studies, assessing the impact of state and federal legislative changes, performing Mental Health Parity compliance reviews, and supporting additional actuarial functions as needed.

The role applies mathematical modeling techniques and statistical concepts to assess risk and support sound actuarial decision making. What You'll Do
Assist in developing premium rates for Individual and Small Group business.
Support the preparation and submission of premium rate filings to state and federal regulators.
Evaluate proposed benefit and cost‑sharing changes. Conduct pricing analyses and studies for Individual and Small Group segments.
Assess the impact of proposed state and federal legislative changes.
Perform Mental Health Parity compliance assessments.
Provide support on additional actuarial projects as requested.
Collaborate with internal teams and evaluate input received from cross‑departmental partners.
Prepare and present reports with clear explanations and insights for managers and directors.
Conduct experience studies and drill‑down analyses to identify key cost drivers and trends.
Complete ad‑hoc modeling and analytical projects.
What You Bring Education/Experience:
Requires a Bachelors 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.

Additional licensing, certifications, registrations:
Working towards an ASA highly preferred.
Knowledge:
Proficiency in Microsoft Excel required.
Experience with SAS, SQL, R, or similar programming languages preferred.
Working knowledge of data analysis and actuarial principles preferred.
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.
Why Horizon?At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you! 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
Disclaimer: Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

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Actuarial Analyst II Job at Horizon Blue Cross Blue Shield of New Jersey, Newark, NJ

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