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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role focused on large employer commercial health (fully insured and self-insured) in Newark, NJ. You will lead pricing and rating studies, manage implementation in the Stepwise rating engine, monitor financial performance and discount metrics, and oversee compliance activities including mental health parity testing. The role partners with Sales, Underwriting and Finance and requires ASA and substantial actuarial experience.

JOB DESCRIPTION SUMMARY

  • Lead pricing and rating studies for large employer commercial health business
  • Manage implementation of rating updates in the Stepwise rating engine
  • Monitor financial performance of fully insured and self-insured markets
  • Oversee mental health parity testing and regulatory compliance
  • Manager-level role requiring ASA and 8+ years actuarial/statistics experience

DOMAIN EXPERTISE

  • Large employer fully insured market performance monitoring
  • Pricing methodology refresh and rating factor updates
  • Stepwise rating engine implementation experience
  • Mental Health Parity testing and compliance
  • Forecasting performance guarantees for self-insured employers

KEY REQUIREMENTS

  • Bachelor's degree required
  • 8+ years of Actuarial and/or statistics experience
  • ASA (Associate of the Society of Actuaries) required
  • Expert knowledge of Excel and strong actuarial principles
  • In-depth knowledge of the healthcare industry

TECH STACK

  • Excel
  • Access
  • Snowflake
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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role focused on large employer commercial health (fully insured and self-insured) in Newark, NJ. You will lead pricing and rating studies, manage implementation in the Stepwise rating engine, monitor financial performance and discount metrics, and oversee compliance activities including mental health parity testing. The role partners with Sales, Underwriting and Finance and requires ASA and substantial actuarial experience.

JOB DESCRIPTION SUMMARY

  • Lead pricing and rating studies for large employer commercial health business
  • Manage implementation of rating updates in the Stepwise rating engine
  • Monitor financial performance of fully insured and self-insured markets
  • Oversee mental health parity testing and regulatory compliance
  • Manager-level role requiring ASA and 8+ years actuarial/statistics experience

DOMAIN EXPERTISE

  • Large employer fully insured market performance monitoring
  • Pricing methodology refresh and rating factor updates
  • Stepwise rating engine implementation experience
  • Mental Health Parity testing and compliance
  • Forecasting performance guarantees for self-insured employers

KEY REQUIREMENTS

  • Bachelor's degree required
  • 8+ years of Actuarial and/or statistics experience
  • ASA (Associate of the Society of Actuaries) required
  • Expert knowledge of Excel and strong actuarial principles
  • In-depth knowledge of the healthcare industry

TECH STACK

  • Excel
  • Access
  • Snowflake

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Job Overview

Salary
$138k - $189k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level health actuary with 8+ years in large employer commercial health pricing, ASA credential, strong Excel and data analysis skills, and experience leading rating methodology work and implementations.

ASA

Benefits

Health Insurance401(k) PlanGenerous VacationAnnual BonusWellness ProgramVolunteering ProgramTuition Reimbursement
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
$138k - $189k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level health actuary with 8+ years in large employer commercial health pricing, ASA credential, strong Excel and data analysis skills, and experience leading rating methodology work and implementations.

ASA

Benefits

Health Insurance401(k) PlanGenerous VacationAnnual BonusWellness ProgramVolunteering ProgramTuition Reimbursement
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."

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

Mgr, Actuarial III

Horizon Blue Cross Blue Shield of New Jersey•Newark, New Jersey, United States•4h ago
Commercial Employer HealthPricing & RatingUW Support & Portfolio ManagementRegulatory Reporting