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Role Summary

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HIGHLIGHTS

Senior actuarial manager in a health insurer focused on large employer commercial markets (fully insured and self-insured). You will lead pricing and rating methodology refreshes, manage Stepwise implementations, monitor discount metrics and ensure parity/compliance while partnering with Sales, Underwriting and Finance. Hybrid/remote role based in Newark, NJ (employees must reside in certain regional states).

JOB DESCRIPTION SUMMARY

  • Manage pricing and financial performance for large employer commercial health markets
  • Lead actuarial studies and refresh rating methodology using the Stepwise engine
  • Oversee discount metrics, mental health parity testing, and guarantee forecasting
  • Manager-level role requiring ASA and 8+ years of actuarial/statistics experience
  • Remote role (must reside in NJ, NY, PA, CT, or DE)

DOMAIN EXPERTISE

  • Large employer commercial health markets experience
  • Pricing and rating methodology development and implementation
  • Experience with Stepwise rating engine
  • UDS discount metrics and discount measurement
  • Mental health parity testing and compliance

KEY REQUIREMENTS

  • 8+ years of actuarial and/or statistics experience
  • Associate of the Society of Actuaries (ASA) required
  • Bachelor's degree required (Math, Statistics, Actuarial Science preferred)
  • Expert knowledge of Excel required
  • Must reside in NJ, NY, PA, CT, or DE

TECH STACK

  • Excel
  • Access
  • Snowflake
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Role Summary

Loading...

HIGHLIGHTS

Senior actuarial manager in a health insurer focused on large employer commercial markets (fully insured and self-insured). You will lead pricing and rating methodology refreshes, manage Stepwise implementations, monitor discount metrics and ensure parity/compliance while partnering with Sales, Underwriting and Finance. Hybrid/remote role based in Newark, NJ (employees must reside in certain regional states).

JOB DESCRIPTION SUMMARY

  • Manage pricing and financial performance for large employer commercial health markets
  • Lead actuarial studies and refresh rating methodology using the Stepwise engine
  • Oversee discount metrics, mental health parity testing, and guarantee forecasting
  • Manager-level role requiring ASA and 8+ years of actuarial/statistics experience
  • Remote role (must reside in NJ, NY, PA, CT, or DE)

DOMAIN EXPERTISE

  • Large employer commercial health markets experience
  • Pricing and rating methodology development and implementation
  • Experience with Stepwise rating engine
  • UDS discount metrics and discount measurement
  • Mental health parity testing and compliance

KEY REQUIREMENTS

  • 8+ years of actuarial and/or statistics experience
  • Associate of the Society of Actuaries (ASA) required
  • Bachelor's degree required (Math, Statistics, Actuarial Science preferred)
  • Expert knowledge of Excel required
  • Must reside in NJ, NY, PA, CT, or DE

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

Experienced health actuary (Manager level) with ASA and 8+ years working in large employer/group health pricing, skilled in rating methodology and Stepwise implementations, strong Excel and analytical leadership.

ASA

Benefits

Health Insurance401(k) PlanGenerous VacationAnnual BonusWellness ProgramTuition ReimbursementRemote First
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

Experienced health actuary (Manager level) with ASA and 8+ years working in large employer/group health pricing, skilled in rating methodology and Stepwise implementations, strong Excel and analytical leadership.

ASA

Benefits

Health Insurance401(k) PlanGenerous VacationAnnual BonusWellness ProgramTuition ReimbursementRemote First
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, NJ - Remote•14h ago
RemoteCommercial Employer HealthPricing & RatingUW Support & Portfolio ManagementBusiness Intelligence & Reporting