Actuarial Analyst III

Horizon Healthcare Services•Newark, NJ

1d•$86,000 - $117,390

About The Position

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. This is the senior 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

Bachelors degree, required preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.
Requires 4+ years of Actuarial and/or statistics experience.
Excellent knowledge of features of Stop Loss product, from both Actuarial and UW perspective.
Knowledge of the Reinsurance industry
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 skills and statistical analysis abilities.
Requires good judgment and problem solving skills.
Requires strong leadership skills
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Nice To Haves

Prefer Associate level in the Society of Actuaries (ASA)
Experience in health insurance is preferred.
Stop Loss or Level Funded experience highly preferred.
Prefers working knowledge of Access or other database application.
Experience with SAS or other programming language

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
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)
Develop or support the development of pricing models and support pricing requests which may include rate filings, benefit adjustment factors, fee schedule analysis, new product pricing, etc.
Partner with internal 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