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Lead a team managing actuarial forecasts, reserves, liability monitoring, and financial analyses for No Surprises Act activity. Partner cross-functionally to gather and validate data, produce recurring reports, integrate NSA impacts into reserving and forecasting, improve data quality and processes, communicate results to leadership, and mentor staff.

Support actuarial and data analytics for risk-adjusted lines (ACA, Medicare Advantage, Medicaid). Analyze risk scores, financial impacts, and performance metrics; produce projections (CMS-HCC, HHS-HCC), inform risk adjustment strategy, reporting, pricing, and forecasts; evaluate vendor performance and intervention ROI; support ACA pricing and MA bid submissions.

Lead design, development and enhancement of health insurance products across market segments. Serve as product SME, conduct market/research/competitive analysis, monitor product performance and profitability, support cross-functional teams (Sales, Underwriting, Actuarial, IT), manage product lifecycle and maintenance, present Consumerism products, and drive sales, utilization and retention plans.

Manage and retain public-market accounts by handling contract renewals, negotiating terms, selling additional product lines, and developing new business. Provide client workshops on enrollment and claims, advise on regulatory impacts, modify contracts as needed, and make binding financial and service decisions. Requires travel across New Jersey and coordination with stakeholders.

Lead design, development, and maintenance of complex software applications. Translate requirements to technical specifications, enforce SDLC and security standards, drive DevOps practices, mentor staff, manage cross-functional/vendor interactions, provide production support, and ensure architecture alignment and delivery of high-quality solutions.

Lead and supervise assigned internal audits and initiatives: develop scope and work programs, perform testing and analysis, document control issues, prepare reports, track remediation, and mentor staff while collaborating with management to improve internal controls.

Draft, review, negotiate, and manage commercial, vendor, finance, real estate, and Business Associate Agreements. Develop templates and contract tools, advise stakeholders on legal risks, train colleagues on contract best practices, report on BAA performance, support privacy incident response and data ethics, and recommend operational efficiencies.

The Sales Executive IV drives new account sales across various markets, focusing on meeting sales targets and building relationships with clients and brokers.

Supervise and execute audits, ensuring quality and effectiveness of internal controls, while managing staff and providing strategic recommendations to management.

The Paralegal III provides litigation and transactional support, conducts legal research, prepares documents, and collaborates with attorneys and departments.