Actuarial Analyst II (Stop Loss)

Horizon Blue Cross Blue Shield of New Jersey•Newark, NJ

20h•$79,100 - $105,945

About The Position

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

Requirements

Requires a Bachelor’s degree, preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.
Requires 2+ years of Actuarial and/or statistics experience.
Requires expert knowledge of Excel.
Requires strong working knowledge of data analysis and Actuarial principles.
Requires in depth knowledge of the healthcare industry.
Requires excellent oral and written communication skills.
Requires strong analytical thinking.
Requires strong mathematical skill and statistical analysis abilities.
Requires good judgment and problem-solving skills.

Nice To Haves

Working towards an ASA highly preferred.
Experience with Level Funded products, medical Stop Loss or Reinsurance products preferred.
Excellent knowledge of features of Stop Loss product, from both Actuarial and UW perspective.
Knowledge of the Reinsurance industry
Experience with SQL, SAS, Tableau, Power BI, or other analytical/reporting tools preferred.

Responsibilities

Design, perform or support trend analysis
Perform pricing, UW 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 & financial strength
Lead meetings with business partners providing transparency in and an understanding of the actuarial analyses and results