Remote Actuary / Actuarial

Horizon Blue Cross Blue Shield of New Jersey New Jersey, New Jersey, US

About the Role

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. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. This entry-level analyst position resides within the Actuarial Department and is primarily responsible for supporting the development, enhancement, and maintenance of the Medical Cost Action Plan evaluations (MCAPs). The role partners with stakeholders throughout the organization to analyze health insurance claims and patient utilization data to track actual medical expenses against budgets, identify specific financial leakage points, and design actionable cost-containment initiatives. Perform and support Medical Cost Action Plan evaluations across multiple lines of business. Collect, analyze, and interpret data for financial, utilization, and actuarial reporting, including IBNR monitoring and analysis. Collaborate with business partners and stakeholders to understand reporting needs and provide actionable analytical solutions. Develop innovative approaches to analyzing and visualizing data to drive informed business decisions. Assist with ad hoc actuarial and analytical projects as assigned. Bachelor's degree required, preferably in Actuarial Science, Mathematics, Statistics, Data Science, Economics, or a related quantitative field from an accredited college or university. Zero to two year of actuarial, statistical, healthcare analytics, or related experience required. Successful completion of at least one Society of Actuaries (SOA) actuarial exam required. Progress toward an actuarial credential (ASA) is preferred. Additional licensing, certifications, registrations: ~ Working knowledge of Microsoft Excel required; familiarity with Microsoft Access preferred. Experience with SAS, SQL, R, Python, or similar programming and data analysis tools required. Basic understanding of actuarial concepts, statistical analysis, and healthcare data preferred. Knowledge of medical claims, healthcare utilization, and medical terminology is a plus. We believe that when our people thrive, our communities do too. 70,500 - $94,395​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. Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Tuition Reimbursement Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. 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.

Responsibilities

  • Support actuarial analyses for MCAPs and reporting
  • Collaborate with stakeholders to provide analytical solutions
  • Assist with ad hoc actuarial projects

Qualifications

  • SOA exam
  • Actuarial science/related degree
  • Experience in healthcare analytics preferred

Required Skills

SAS SQL Python R data visualization

Keywords

actuarial healthcare analytics data analysis SQL SAS

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Job Overview

Date Posted 2 days ago
Location New Jersey, New Jersey, US
Job Type Full-time
Work Mode Onsite
Salary $70,500 - $94,395
Category Healthcare allied health

About the Company

Horizon Blue Cross Blue Shield of New Jersey insurance
Newark, United States
5700 employees
13.6B