Back to Search

Mgr, Actuarial III

Horizon Blue Cross Blue Shield of New JerseyNewark, NJ - Remote2w ago
RemoteCommercial Employer HealthPricing & RatingUW Support & Portfolio ManagementBusiness Intelligence & Reporting

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