Actuarial Analyst II - Stop Loss & Pricing

100 Horizon Healthcare Services, Inc; Newark (NJ); On-site; USD 79,000 - 106,000; Full time

Benefits offered by this job

Comprehensive health benefits

Retirement Plans

Generous PTO

Incentive Plans

Wellness Programs

Paid Volunteer Time Off

Tuition Reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey seeks a mid-level Actuarial Analyst to join our Actuarial department. This role covers Stop Loss and Level Funded groups, with responsibilities across trend analysis, pricing support, reserving and forecasting.

You will collaborate with internal and external partners, build pricing models, analyze data (IBNR included), and contribute to growth and financial strength while pursuing ASA designation.

Qualifications

• Bachelor's degree in Mathematics/Statistics/Actuarial Sciences or related field.
• 2+ years actuarial or statistics experience.
• ASA designation strongly preferred.

Responsibilities

• Design, perform or support trend analysis.
• Pricing, UW support, reserving and forecasting for Stop Loss and Level Funding.
• Forecasting support and data analysis.
• Support pricing decisions including underwriting consultation and risk assessment.
• Develop pricing models: benefit adjustment factors, fee schedules, new product pricing.
• Data collection and analysis for financial/utilization reporting (IBNR).
• Collaborate with internal/external partners to mitigate risks.
• Support strategies for membership growth and financial strength.
• Lead meetings with partners to explain actuarial analyses and results.

Skills

Excel

SQL

SAS

Tableau

Power BI

Analytical thinking

Mathematical skills

Communication

Healthcare knowledge

Team collaboration

Education

Bachelor's degree in Mathematics/Statistics/Actuarial Sciences or related

Job description

Horizon Blue Cross Blue Shield of New Jersey seeks a mid-level Actuarial Analyst to join our Actuarial department. This role covers Stop Loss and Level Funded groups, with responsibilities across trend analysis, pricing support, reserving and forecasting.

You will collaborate with internal and external partners, build pricing models, analyze data (IBNR included), and contribute to growth and financial strength while pursuing ASA designation.