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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

Salary Pro Post a Job

Log in

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

Shortlist Forming

Closing Soon

22d

22 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

$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

Shortlist Forming

Closing Soon

22d

22 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 III

Horizon Blue Cross Blue Shield of New Jersey

Health/Insurer/IC Level

Actuarial Analyst III

Horizon Blue Cross Blue Shield of New Jersey

Newark, New Jersey, United States•3w ago

OnsiteACA ExchangeMedicare AdvantageMedicaid

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