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Role Summary

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HIGHLIGHTS

Actuarial Analyst II supporting risk adjustment analytics for ACA, Medicare Advantage, and Medicaid at a major health insurer. You'll perform risk score projections, financial analysis, and reporting to guide risk adjustment strategy and pricing efforts. Ideal for a candidate with 2+ years of actuarial experience or ASA status, with strong analytical skills and proficiency in Excel and SAS.

JOB DESCRIPTION SUMMARY

  • Analyze risk scores (CMS-HCC, HHS-HCC) for ACA, Medicare Adv, Medicaid
  • Support financial metrics, ROI analysis, and pricing/forecasting
  • Collaborate with risk adjustment operations and vendor performance
  • Hybrid-remote role; must live in NJ, NY, PA, CT or DE
  • ASA candidate preferred with 2+ years actuarial experience

DOMAIN EXPERTISE

  • Risk adjustment analytics (ACA, Medicare Advantage, Medicaid)

KEY REQUIREMENTS

  • 2+ years actuarial or statistics experience (or ASA)
  • Bachelor's degree in Mathematics, Statistics, Actuarial Science
  • Working knowledge of Excel
  • SAS or other programming language preferred
  • Eligible to work in the US without sponsorship

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Actuarial Analyst II supporting risk adjustment analytics for ACA, Medicare Advantage, and Medicaid at a major health insurer. You'll perform risk score projections, financial analysis, and reporting to guide risk adjustment strategy and pricing efforts. Ideal for a candidate with 2+ years of actuarial experience or ASA status, with strong analytical skills and proficiency in Excel and SAS.

JOB DESCRIPTION SUMMARY

  • Analyze risk scores (CMS-HCC, HHS-HCC) for ACA, Medicare Adv, Medicaid
  • Support financial metrics, ROI analysis, and pricing/forecasting
  • Collaborate with risk adjustment operations and vendor performance
  • Hybrid-remote role; must live in NJ, NY, PA, CT or DE
  • ASA candidate preferred with 2+ years actuarial experience

DOMAIN EXPERTISE

  • Risk adjustment analytics (ACA, Medicare Advantage, Medicaid)

KEY REQUIREMENTS

  • 2+ years actuarial or statistics experience (or ASA)
  • Bachelor's degree in Mathematics, Statistics, Actuarial Science
  • Working knowledge of Excel
  • SAS or other programming language preferred
  • Eligible to work in the US without sponsorship

TECH STACK

  • Excel

Job Overview

Salary
$79k - $106k
Years of Experience
2+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA candidate with 2+ years of health actuarial experience, particularly in risk adjustment for ACA, Medicare Advantage, or Medicaid. Strong analytical skills and proficiency in Excel and SAS are key.

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanGenerous VacationBonus EligibleTuition Reimbursement
Shortlist Forming
Closing Soon
34d
34 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$79k - $106k
Years of Experience
2+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA candidate with 2+ years of health actuarial experience, particularly in risk adjustment for ACA, Medicare Advantage, or Medicaid. Strong analytical skills and proficiency in Excel and SAS are key.

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanGenerous VacationBonus EligibleTuition Reimbursement
Shortlist Forming
Closing Soon
34d
34 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Actuarial Analyst II

Horizon Blue Cross Blue Shield of New Jersey

Health/Insurer/IC Level
Horizon Blue Cross Blue Shield of New Jersey

Actuarial Analyst II

Horizon Blue Cross Blue Shield of New Jersey
Newark, NJ - Remote•1mo ago
HybridACA ExchangeMedicare AdvantageMedicaid

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