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Role Summary

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HIGHLIGHTS

Health actuarial role supporting financial and actuarial decision-making for Horizon BCBSNJ. You will perform risk score projections, pricing, and forecasting for ACA, Medicare Advantage, and Medicaid lines. Requires ASA designation and 4+ years of actuarial/statistical experience. Based in Newark, New Jersey.

JOB DESCRIPTION SUMMARY

  • Perform risk score projections (CMS-HCC, HHS-HCC) and analytics
  • Support ACA pricing, MA Bid submissions, and forecasting
  • Analyze financial metrics and intervention ROI for risk adjustment
  • Requires ASA and 4+ years actuarial experience
  • Advanced Excel, Access, SAS preferred

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • ACA pricing
  • Medicare Advantage bid submissions

KEY REQUIREMENTS

  • ASA designation required
  • 4+ years actuarial/statistics experience
  • Bachelor's degree in Math, Stats, Actuarial Science or related
  • Expert knowledge of Excel
  • Knowledge of data analysis and actuarial principles

TECH STACK

  • Excel
  • Access
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Role Summary

Loading...

HIGHLIGHTS

Health actuarial role supporting financial and actuarial decision-making for Horizon BCBSNJ. You will perform risk score projections, pricing, and forecasting for ACA, Medicare Advantage, and Medicaid lines. Requires ASA designation and 4+ years of actuarial/statistical experience. Based in Newark, New Jersey.

JOB DESCRIPTION SUMMARY

  • Perform risk score projections (CMS-HCC, HHS-HCC) and analytics
  • Support ACA pricing, MA Bid submissions, and forecasting
  • Analyze financial metrics and intervention ROI for risk adjustment
  • Requires ASA and 4+ years actuarial experience
  • Advanced Excel, Access, SAS preferred

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • ACA pricing
  • Medicare Advantage bid submissions

KEY REQUIREMENTS

  • ASA designation required
  • 4+ years actuarial/statistics experience
  • Bachelor's degree in Math, Stats, Actuarial Science or related
  • Expert knowledge of Excel
  • Knowledge of data analysis and actuarial principles

TECH STACK

  • Excel
  • Access

Job Overview

Salary
$103k - $140k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA with 4+ years of health actuarial experience, particularly in risk adjustment, ACA pricing, and Medicare Advantage. Strong analytical skills and advanced Excel proficiency are essential.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanBonus EligibleGenerous VacationPaid Volunteer TimeTuition ReimbursementWellness Program
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$103k - $140k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA with 4+ years of health actuarial experience, particularly in risk adjustment, ACA pricing, and Medicare Advantage. Strong analytical skills and advanced Excel proficiency are essential.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanBonus EligibleGenerous VacationPaid Volunteer TimeTuition ReimbursementWellness Program
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Actuarial Analyst III

Horizon Blue Cross Blue Shield of New Jersey

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

Actuarial Analyst III

Horizon Blue Cross Blue Shield of New Jersey
Newark, New Jersey, United States•16h ago
OnsiteACA ExchangeMedicare AdvantageMedicaid

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