Actuarial Analyst II (Stop Loss)

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.

About the Role

This is the mid-level analyst position within the Actuarial department. Includes all aspects of actuarial work, as related to Stop Loss and Level Funded groups. Responsible for pricing, underwriting support, reserving, and forecasting for both Specific and Aggregate Stop Loss, as well as Level Funding.

Responsibilities

• Design, perform, or support trend analysis
• Perform pricing, underwriting support, reserving, and forecasting for both Specific and Aggregate Stop Loss, as well as Level Funding
• Perform or support forecasting
• Support new business and renewal pricing decisions, including underwriting consultation and risk assessment
• 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)
• Partner with internal and external customers to develop creative solutions and strategies, uncover opportunities, and minimize risks
• Support corporate strategies and business plan development for membership growth and financial strength
• Lead meetings with business partners providing transparency in and an understanding of the actuarial analyses and results

Requirements

• Bachelor’s degree, preferably within Mathematics, Statistics, Actuarial Sciences, or a related field from an accredited college or university
• 2+ years of Actuarial and/or statistics experience
• Working towards an ASA highly preferred
• Experience with Level Funded products, medical Stop Loss, or Reinsurance products preferred

Knowledge

• Excellent knowledge of features of Stop Loss product, from both Actuarial and underwriting perspective
• Knowledge of the Reinsurance industry
• Expert knowledge of Excel
• Experience with SQL, SAS, Tableau, Power BI, or other analytical/reporting tools preferred
• Strong working knowledge of data analysis and Actuarial principles
• In-depth knowledge of the healthcare industry

Skills & Abilities

• Excellent oral and written communication skills
• Strong analytical thinking
• Strong mathematical skill and statistical analysis abilities
• Good judgment and problem-solving skills

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement

Pay

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.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut, or Delaware.