Note: The job is a remote job and is open to candidates in USA. Horizon Blue Cross Blue Shield of New Jersey is hiring an Actuarial Analyst II to support its No Surprises Act actuarial workstream. The role develops forecasts, reserves, analyses, and reporting, while improving data quality and coordinating with cross-functional teams on financial impacts and recommendations.
Responsibilities
- Support the actuarial workstream for NSA, including forecasts, reserve estimates, liability monitoring, profitability analyses, and financial impact assessments
- Partner with Actuarial, Finance, Operations, Legal, HNS, and vendor contacts to gather, validate, and interpret data required for NSA financial analysis and reporting
- Develop and maintain documentation of NSA data sources, assumptions, methodologies, process flows, and reporting definitions to support consistency and auditability
- Create recurring reporting packages that summarize NSA inventory trends, liability movements, payment activity, financial impacts, and notable operational developments
- Identify opportunities to improve data quality, streamline data collection, reduce manual effort, and strengthen ongoing monitoring of NSA activity
- Integrate NSA inventory, liability, and payment information into actuarial reserving, forecasting, and financial reporting processes
- Prepare analyses, summaries, and presentation materials that clearly communicate NSA financial results, emerging trends, key risks, and recommended areas of focus
- Participate in NSA working sessions and stakeholder meetings to understand operational changes, evaluate financial implications, and provide actuarial perspective on strategic initiatives
- Monitor regulatory, operational, and claims-related developments that may affect NSA financial results and communicate findings to actuarial leadership
- Support ad hoc analyses and special projects across key actuarial functions, including reserving, pricing, forecasting, and other financial or business needs
- Support team members by setting priorities, reviewing analytical work, providing coaching, and ensuring timely delivery of high-quality NSA actuarial deliverables
Skills
- Bachelors degree is required
- 2+ years of actuarial and/or statistics experience or attainment of Associate level in the Society of Actuaries (ASA)
- Knowledge of artificial intelligence concepts, tools, and platforms at a practical working level, including generative AI, large language models, prompt engineering, AI assistants, and low-code/no-code AI development tools
- Requires expert knowledge of Excel
- Requires trend, actuarial forecast and reserves experience
- 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
- Demonstrated ability and willingness to take ownership of complex data process, independently investigate issues and rive them through resolution
- Preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university
- Health insurance, healthcare, or managed care experience is preferred
- ASA highly preferred
- Requires advanced proficiency with SAS, SQL, R, Python, Snowflake or similar analytical/programming tools preferred
- Knowledge of NSA regulations preferred
- Knowledge of AI tools and concepts highly preferred
Benefits
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
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