Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Job Summary:

• Lead internal meetings providing transparency and understanding of the actuarial analyses and results
• Collect and analyze data to use for actuarial analysis, reporting, and monitoring.
• Develop or supervise the development of pricing models and support pricing requests which may include benefit adjustment factors, fee schedule analysis, new product pricing, new cost sharing features, etc.
• Partner with internal and external customers to develop creative solutions and strategies, uncover opportunities and minimize risks
• Provide insight to emerging cost trend, population risk, and variances to expected results
• Support corporate strategies and business plan development for membership growth & financial strength
• Lead, manage, develop and train staff; oversee the work of the unit; develop and monitor goals; and conduct performance reviews

Perform one of the following two functions:

• Level Funded product:
• Perform all areas of actuarial work: pricing, reserving, forecasting, underwriting support, liaison to rating engine, etc.
• Stop Loss: Perform all areas of actuarial work related to both Specific and Aggregate Stop Loss coverage: pricing, UW support, reserving and forecasting, etc.

Education/Experience:

• Requires a Bachelor's degree, preferably within Mathematics, Statistics, Actuarial Sciences or a related field
• Requires 7+ years of Actuarial and/or statistics experience.
• Prefer 4 years of experience in the relevant area of actuarial work:
  • either pricing and regulatory filings of Individual and/or Small Group rates,
  • or Stop Loss work.
• Associate of the Society of Actuaries (ASA) is required; Fellow of the Society of Actuaries (FSA) is preferred.
• Prefers at least 3 years supervisory experience.

Additional licensing, certifications, registrations:

• ASA required.
• FSA preferred.

Knowledge:

• Requires expert knowledge of Excel.
• Prefers working knowledge of Access or other database application.
• Experience with SAS or other programming language a plus
• Requires strong working knowledge of data analysis and Actuarial principles, including Actuarial Standards of Practice (ASOPs)
• Requires in depth knowledge of the healthcare industry

Skills and 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
• Requires strong managerial skills
• Requires strong leadership skills

Salary Range:

This 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

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.