Actuarial Analyst II

🕒 July 1

🦌 Connecticut, New Jersey, +2 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🔔 Pennsylvania – Remote

💵 $79.1k - $105.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

👻 Ghost score 63%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Horizon Connect @ Wall BCBSNJ

WebsiteLinkedInAll Job Openings

2 - 10 employees

⚕️ Healthcare Insurance

🏥 Healthcare

Healthcare Insurance • Healthcare

Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.

📋 Description

• Perform or support actuarial analytics on risk adjustable lines of business, including ACA, Medicare Advantage, and Medicaid • Perform or support CMS-HCC and HHS-HCC risk score projections, including RATP, MA MYRA/FYRA accruals, and RADV financial impacts • Perform or support data analytics and reporting to inform risk adjustment operations, strategy, submissions, and vendor performance • Perform or support financial metrics pertaining to risk adjustment performance, including intervention ROI • Collect and analyze data for financial and utilization reporting and monitoring • Support pricing and forecast efforts, including ACA pricing and MA Bid submissions • Translate data into actionable business recommendations

🎯 Requirements

• Bachelors degree is required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university • Requires 2+ years of actuarial and/or statistics experience or attainment of Associate level in the Society of Actuaries (ASA) • ASA candidate a plus • Requires working knowledge of Excel • Prefers experience with SAS or other programming language • Prefers knowledge of data analysis and Actuarial principles • Requires good oral and written communication skills • Requires strong analytical thinking • Requires strong mathematical skill and statistical analysis abilities • Requires good judgment and problem solving skills • Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement

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