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Role Summary

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HIGHLIGHTS

This is an Actuarial Analyst III role at Horizon Blue Cross Blue Shield of New Jersey, a health insurer. You'll perform actuarial analytics for risk-adjustable lines of business including ACA, Medicare Advantage, and Medicaid. Responsibilities include risk score projections, financial and utilization reporting, pricing support for ACA and MA Bids, and data analytics. The role requires an ASA designation and 4+ years of experience.

JOB DESCRIPTION SUMMARY

  • Perform risk score projections (CMS-HCC, HHS-HCC, RADV) for ACA, MA, Medicaid
  • Develop forecasting models and support trend analysis
  • Support ACA pricing and Medicare Advantage Bid submissions
  • Requires ASA and 4+ years of actuarial/statistical experience

DOMAIN EXPERTISE

  • Risk adjustment and risk score analytics
  • ACA, Medicare Advantage, or Medicaid experience

KEY REQUIREMENTS

  • ASA certification required
  • 4+ years of actuarial or statistical experience
  • Expert knowledge of Excel
  • Experience with SAS or Access preferred
  • Eligible to work in NJ, NY, PA, CT, or DE

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

This is an Actuarial Analyst III role at Horizon Blue Cross Blue Shield of New Jersey, a health insurer. You'll perform actuarial analytics for risk-adjustable lines of business including ACA, Medicare Advantage, and Medicaid. Responsibilities include risk score projections, financial and utilization reporting, pricing support for ACA and MA Bids, and data analytics. The role requires an ASA designation and 4+ years of experience.

JOB DESCRIPTION SUMMARY

  • Perform risk score projections (CMS-HCC, HHS-HCC, RADV) for ACA, MA, Medicaid
  • Develop forecasting models and support trend analysis
  • Support ACA pricing and Medicare Advantage Bid submissions
  • Requires ASA and 4+ years of actuarial/statistical experience

DOMAIN EXPERTISE

  • Risk adjustment and risk score analytics
  • ACA, Medicare Advantage, or Medicaid experience

KEY REQUIREMENTS

  • ASA certification required
  • 4+ years of actuarial or statistical experience
  • Expert knowledge of Excel
  • Experience with SAS or Access preferred
  • Eligible to work in NJ, NY, PA, CT, or DE

TECH STACK

  • Excel

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 for ACA, Medicare Advantage, or Medicaid. Strong Excel and analytical skills required; SAS or Access experience preferred.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanBonus EligibleGenerous VacationTuition ReimbursementWellness Program
Fresh Role
Premium Window
1d
1 days ago

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 for ACA, Medicare Advantage, or Medicaid. Strong Excel and analytical skills required; SAS or Access experience preferred.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanBonus EligibleGenerous VacationTuition ReimbursementWellness Program
Fresh Role
Premium Window
1d
1 days ago

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, NJ - Remote•1d ago
RemoteACA ExchangeMedicare AdvantageMedicaid

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