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 a mid-level analyst position within the Actuarial department. This role will be responsible for central pricing and forecasting. Responsible for producing the best technical view of pricing factors and our forecasted premium and claims for future period.Responsibilities:
Develop pricing models and support pricing requests which may include rate filings, benefit adjustment factors, fee schedule analysis, new product pricing, etc.
Perform or support trend analysis
Perform or support forecasting
Assist with the development and recording of outstanding incurred claims liabilities, as well as other financial accruals and liabilities.
Assist with estimating regulatory program financial impacts.
Assist with understanding medical trend development and drivers, including drill-down analysis and reporting.
Collect and analyze data to use for financial and utilization reporting and monitoring (including IBNR)
Education/Experience:
Requires a Bachelor's degree, preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university, or equivalent work experience.
Requires 2+ years of actuarial and/or statistics experience
ASA Preferred
Large group pricing experience highly preferred
Additional licensing, certifications, registrations:
ASA Certification preferred.
Knowledge/Skills:
Requires expert knowledge of Excel
Prefers working knowledge of Access or other database application
Prefers experience with SAS or other programming language
Requires knowledge of data analysis and Actuarial principles
Requires good oral and written communication skills
Requires strong analytical thinking
Requires strong mathematical skill and statistical analysis abilities
Requires good judgment and problem-solving skills
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Salary Range:
$77,900 - $104,370This 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:
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.
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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.
