Senior Actuarial Analyst — AI-Driven Trend Forecasting

Horizon Blue Cross Blue Shield of New Jersey; Oregon; Hybrid; USD 87,000 - 119,000; Full time

Benefits offered by this job

Health benefits

Retirement plans

Generous PTO

Incentive plans

Wellness programs

Tuition reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking a senior actuary analyst focusing on Government Programs (Medicare, PDP, DSNP, Medicaid) trend forecasting. You will apply actuarial methods and AI-driven solutions to evaluate risk, pricing decisions, and regulatory impacts, partnering with stakeholders across the actuarial team.

You will drive AI adoption in trend work, deliver insights, and support ad hoc modeling and forecasting initiatives in a dynamic healthcare environment.

Qualifications

• Bachelor's degree required in a quantitative field.
• 4+ years actuarial or healthcare analytics experience.
• ASA designation preferred/progress toward ASA.

Responsibilities

• Forecast forecasted trends and assess financial impact.
• Evaluate benefit and cost-sharing changes and pricing analyses.
• Identify cost drivers and utilization patterns through data analysis.
• Lead and document AI use cases within actuarial work and monitor adoption.

Skills

Strong analytical skills

Excellent communication

Independent work

Education

Bachelor's degree (Actuarial Science/Math/Stats/Econ/Data Science)

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 focusing on Government Programs (Medicare, PDP, DSNP, Medicaid) trend forecasting. You will apply actuarial methods and AI-driven solutions to evaluate risk, pricing decisions, and regulatory impacts, partnering with stakeholders across the actuarial team.

You will drive AI adoption in trend work, deliver insights, and support ad hoc modeling and forecasting initiatives in a dynamic healthcare environment.