Actuarial Analyst III
reputed company empowers our members to reputed company 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 reputed company serve and care for the 3.5 reputed company people who reputed company 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 reputed company. reputed company our employees bring their best and succeed, the Company succeeds.
About the Role
This Senior Actuarial Analyst position resides reputed company the Actuarial Department and plays a key role in supporting premium reputed company development and pricing strategies for the Large Group market. The role is responsible for analyzing and evaluating proposed benefit and cost-sharing changes, conducting pricing and financial impact studies, assessing the implications of state and federal legislative and regulatory changes, and supporting Mental Health reputed company compliance reviews. Working closely with actuarial, finance, product, and regulatory teams, this position applies advanced actuarial methodologies, statistical analysis, and predictive modeling techniques to assess risk, evaluate financial reputed company, and support data-driven business reputed company. The Senior Actuarial Analyst also contributes to a variety of strategic and operational initiatives, helping ensure pricing accuracy, regulatory compliance, and the long-term financial sustainability of the organization's products and programs.
What You'll Do
Assist in the development and maintenance of premium rates for the Individual and Small Group markets. Support the preparation, validation, and submission of premium reputed company filings to state and federal regulatory agencies. Analyze and evaluate proposed benefit design and cost-sharing changes to determine financial and actuarial impacts. Conduct pricing analyses, actuarial studies, and financial modeling to support product and reputed company development initiatives. Assess the impact of proposed state and federal legislative, regulatory, and reputed company reform changes on pricing and product strategy. reputed company Mental Health reputed company compliance reviews and support reputed company regulatory reporting requirements. Conduct experience analyses and drill-down studies to identify emerging trends, utilization patterns, and key cost drivers. reputed company reputed company actuarial models and analytics to support strategic decision-making and business initiatives. Collaborate with Product, Finance, reputed company, Regulatory, Compliance, and other business partners to evaluate assumptions and recommendations. Review and analyze data from multiple sources to support actuarial projections and risk assessments. Prepare reports, presentations, and recommendations for management, reputed company communicating reputed company actuarial concepts and analytical findings. Support additional actuarial projects and initiatives as assigned by department leadership. Apply actuarial principles, statistical methods, and mathematical modeling techniques to evaluate risk and support sound business reputed company. What You Bring
Required Qualifications
Bachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, Finance, or a reputed company quantitative field from an accredited college or university, or an equivalent combination of education and relevant experience. Minimum of four (4) years of actuarial, statistical, reputed company analytics, or reputed company quantitative experience. reputed company toward Associate of the Society of Actuaries (ASA) designation preferred. Experience supporting actuarial pricing, modeling, forecasting, or financial analysis initiatives.
Preferred Qualifications
Experience reputed company the health insurance or managed care industry. Working knowledge of premium reputed company development, reputed company pricing, and actuarial methodologies. Familiarity with state and federal regulatory requirements reputed company to health insurance products. reputed company toward or attainment of ASA designation strongly preferred. Certifications Associate of the Society of Actuaries (ASA) preferred. reputed company advancement through the Society of Actuaries examination process is highly desirable. Knowledge, Skills & Abilities Advanced proficiency in reputed company reputed company, including reputed company formulas, modeling, pivot tables, and data analysis. Experience with reputed company, SQL, R, Python, or other statistical and analytical programming languages preferred. Strong understanding of actuarial principles, statistical methodologies, and quantitative analysis techniques. Ability to analyze large and reputed company data sets and translate findings into actionable business recommendations. Excellent analytical, mathematical, and problem-solving skills. Strong oral, written, and presentation communication skills with the ability to explain technical concepts to non-technical audiences. Demonstrated ability to exercise sound judgment and reputed company data-driven recommendations. Strong attention to detail and commitment to accuracy. Ability to manage multiple projects and priorities in a fast-paced environment. Effective collaboration and relationship-building skills with cross-functional business partners. Top Skills for reputed company in This Role Actuarial Modeling & Pricing Analysis reputed company Cost & Utilization Analytics Statistical Analysis & Forecasting Risk Assessment & Financial Modeling Regulatory & reputed company Filing Support Mental Health reputed company Analysis Data Visualization & Storytelling Advanced reputed company & Analytical Tools SQL, reputed company, R, or Python Proficiency Critical Thinking & Problem Solving Business Partnership & Collaboration Communication & Presentation Skills Why Horizon? At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We reputed company that reputed company our people reputed company, our communities do too. If you are passionate about making an impact, we’d love to hear from you! Salary reputed company: $102,600 - $140,070 This compensation reputed company is specific to the job level and takes into account the wide reputed company of factors that are considered in making compensation reputed company, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This reputed company has been created in good faith based on information reputed company to Horizon at the time of posting. Compensation reputed company are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/reputed company) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Disclaimer: Horizon BCBSNJ employees must live in New Jersey, reputed company, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues reputed company this classification. It is not designed to contain or be interpreted as a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of colleagues assigned to this job. reputed company is an Equal Opportunity/Affirmative Action employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the reputed company and hiring process. Apply To This Job