Actuarial Analyst III: Government Programs & AI Trends

Horizon Blue Cross Blue Shield of New Jersey; United States; On-site; USD 87,000 - 119,000; Full time

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking a senior actuary analyst in the Actuarial Department to drive Government Programs trend forecasting (Medicare, PDP, DSNP, Medicaid). The role supports pricing studies, evaluates legislative impacts, and advances actuarial initiatives.

It also serves as an AI integration partner for trend work, delivering AI-driven insights and scalable solutions. The ideal candidate has a bachelor’s in a quantitative field, 4+ years of actuarial experience,

Qualifications

• Bachelor's degree or higher in a quantitative field (Actuarial Science, Mathematics, Statistics, Economics, Data Science)
• Minimum 4 years actuarial, statistical, healthcare analytics, or related experience
• Progress toward ASA designation is highly preferred
• Knowledge of AI concepts, tools, and platforms including generative AI and prompt engineering
• Proficiency in Microsoft Excel; experience with SAS, SQL, R, Python or similar tools preferred
• ASA Certification preferred or progress toward ASA
• Strong analytical, mathematical, and statistical problem solving skills
• Excellent communication skills; ability to present complex findings clearly

Responsibilities

• Develop forecasted trends for government programs
• Evaluate proposed benefit and cost-sharing changes and their financial impact
• Conduct pricing analyses for product lines
• Analyze the impact of state and federal legislative and regulatory changes
• Conduct experience studies to identify cost drivers and utilization patterns
• Identify and document AI use cases in partnership with stakeholders
• Lead AI adoption and utilization within the unit
• Support additional actuarial projects and cross-functional initiatives
• Prepare reports and presentations communicating findings and recommendations
• Complete ad hoc modeling, forecasting, and analytical projects

Skills

Actuarial

Statistics

Healthcare analytics

AI concepts

Excel

SAS

SQL

R

Python

Communication

Critical thinking

Education

Bachelor's degree in Actuarial Science/Math/Statistics

ASA Certification preferred

Tools

Microsoft Excel

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 drive Government Programs trend forecasting (Medicare, PDP, DSNP, Medicaid). The role supports pricing studies, evaluates legislative impacts, and advances actuarial initiatives.

It also serves as an AI integration partner for trend work, delivering AI-driven insights and scalable solutions. The ideal candidate has a bachelor’s in a quantitative field, 4+ years of actuarial experience,