Actuarial Analyst III – Government Programs Trend, AI

Job not on LinkedIn

🔥 13 hours ago

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

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

💵 $87.3k - $119.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.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

• Assist in the development of forecasted trends • Evaluate proposed benefit and cost-sharing changes and assess their financial impact • Conduct pricing analyses and studies for product lines of business • Analyze the impact of proposed state and federal legislative and regulatory changes • Conduct experience studies and detailed analyses to identify cost drivers, utilization patterns, and emerging trends • Identify, shape, and document AI use cases with business unit stakeholders • Drive AI adoption and utilization within the business unit • Support additional actuarial projects and initiatives as assigned • Collaborate with internal stakeholders and cross-functional business partners • Prepare reports and presentations communicating findings, recommendations, and key insights to management • Complete ad hoc modeling, forecasting, and analytical projects as needed

🎯 Requirements

• Bachelor's degree required, preferably in Actuarial Science, Mathematics, Statistics, Economics, Data Science, or a related quantitative field • Minimum of 4 years of actuarial, statistical, healthcare analytics, or related experience required • Progress toward Associate of the Society of Actuaries (ASA) designation is highly preferred • Health insurance, healthcare, or managed care experience is preferred • Knowledge of artificial intelligence concepts, tools, and platforms at a practical working level, including generative AI, large language models, prompt engineering, AI assistants, and low-code/no-code AI development tools • Advanced proficiency in Microsoft Excel required • Experience with SAS, SQL, R, Python, or similar analytical/programming tools preferred • Working knowledge of actuarial concepts, data analysis, and statistical methodologies preferred • Strong analytical, mathematical, and statistical problem-solving skills • Excellent verbal and written communication skills, with the ability to present complex information clearly and effectively • Demonstrated critical thinking, sound judgment, and attention to detail • Ability to work independently while managing multiple priorities in a deadline-driven environment • Strong mathematical skill and statistical analysis abilities • 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