Actuarial Analyst III: AI-Driven Government Programs Trends

100 Horizon Healthcare Services, Inc; Newark (NJ); On-site; USD 71,000 - 119,000; Full time

Benefits offered by this job

Health benefits

Retirement plans

Paid PTO

Incentive plans

Wellness programs

Volunteer time off

Tuition reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking a senior actuary analyst in the Actuarial Department to lead Government Programs trend forecasting and AI integration across actuarial work. The role focuses on evaluating proposed benefit and cost-sharing changes, conducting pricing studies, and assessing regulatory impacts to support sound business decisions with advanced analytics.

You will identify cost drivers, develop experience analyses, and collaborate with business units to deliver

Qualifications

• Bachelor's degree required, actuarial field preferred.
• Minimum of 4 years actuarial or healthcare analytics experience.
• ASA Certification preferred.
• Knowledge of AI concepts and tools.
• Advanced Excel proficiency.
• Experience with SAS, SQL, R, Python.
• Strong analytical and communication skills.
• Ability to work independently with multiple priorities.

Responsibilities

• Develop forecasted trends for government programs.
• Evaluate benefit and cost-sharing changes and assess financial impact.
• Conduct pricing analyses for product lines.
• Analyze regulatory changes and their impacts.
• Identify cost drivers and utilization patterns.
• Document AI use cases with stakeholders and partner engagement.
• Prepare reports and presentations for management.
• Complete ad hoc modeling and forecasting tasks.

Skills

Bachelor's degree

Actuarial experience

ASA designation

AI concepts

Excel

SAS

SQL

Python

Data analysis

Education

Bachelor's degree

Tools

SAS

SQL

R

Python

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking a senior actuary analyst in the Actuarial Department to lead Government Programs trend forecasting and AI integration across actuarial work. The role focuses on evaluating proposed benefit and cost-sharing changes, conducting pricing studies, and assessing regulatory impacts to support sound business decisions with advanced analytics.

You will identify cost drivers, develop experience analyses, and collaborate with business units to deliver