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.
About the Role
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.What You'll Do
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
What You Bring
Education/Experience:
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.
Working towards an ASA highly preferred.
Experience with Level Funded products, medical Stop Loss or Reinsurance products preferred.
Knowledge:
Excellent knowledge of features of Stop Loss product, from both Actuarial and UW perspective.
Knowledge of the Reinsurance industry
Requires expert knowledge of Excel.
Experience with SQL, SAS, Tableau, Power BI, or other analytical/reporting tools preferred.
Requires strong working knowledge of data analysis and Actuarial principles.
Requires in depth knowledge of the healthcare industry.
Skills & Abilities:
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.
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 believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!
Salary Range:
$79,100 - $105,945This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, 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 recruiting and hiring process.
Skills Required
- Bachelor's degree in Mathematics, Statistics, Actuarial Sciences, or a related field
- 2+ years of actuarial and/or statistics experience
- Working toward an ASA designation
- Experience with Level Funded products, medical Stop Loss, or reinsurance products
- Expert knowledge of Microsoft Excel
- Strong working knowledge of data analysis and actuarial principles
- In-depth knowledge of the healthcare industry
- Knowledge of Stop Loss products from actuarial and underwriting perspectives
- Knowledge of the reinsurance industry
- Strong mathematical and statistical analysis abilities
- Excellent oral and written communication skills
- Strong analytical thinking, judgment, and problem-solving skills
- Experience with SQL, SAS, Tableau, Power BI, or other analytical/reporting tools
Horizon Blue Cross Blue Shield of New Jersey Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Horizon Blue Cross Blue Shield of New Jersey and has not been reviewed or approved by Horizon Blue Cross Blue Shield of New Jersey.
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Leave & Time Off Breadth — PTO is characterized as generous, with ample days off and holidays enhancing the overall package. This breadth of time away supports a favorable view of total rewards.
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Flexible Benefits — Remote and hybrid options are available in multiple functions and are cited as a meaningful perk. Flexibility in where work is performed contributes to overall satisfaction with rewards.
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Retirement Support — The 401(k) match is considered decent to good. Retirement offerings are viewed as a solid component of the total package.
Horizon Blue Cross Blue Shield of New Jersey Insights
What We Do
Horizon Blue Cross Blue Shield of New Jersey- the state’s largest and oldest health insurer - is a subsidiary of Horizon Mutual Holdings, Inc., a not-for-profit mutual holding company. Together with its affiliates, Horizon provides a wide array of medical, dental, vision and prescription insurance products and services. As New Jersey’ health solutions leader, Horizon is transforming healthcare by working with doctors and hospitals to deliver innovative, patient-centered programs that improve quality and lower costs. It is headquartered in Newark, NJ with offices in Wall and Hopewell, NJ. Horizon serves 3.7 million members including more than 1 million who rely on Medicaid for their health coverage.
