Manager, Actuarial II

Job not on LinkedIn

🕒 3 days ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $125k - $170.6k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📊 Actuary

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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

• Lead the actuarial workstream for NSA, including forecasts, reserve estimates, liability monitoring, profitability analyses, and financial impact assessments. • Partner with Actuarial, Finance, Operations, Legal, HNS, and vendor contacts to gather, validate, and interpret data required for NSA financial analysis and reporting. • Develop and maintain documentation of NSA data sources, assumptions, methodologies, process flows, and reporting definitions to support consistency and auditability. • Create recurring reporting packages that summarize NSA inventory trends, liability movements, payment activity, financial impacts, and notable operational developments. • Identify opportunities to improve data quality, streamline data collection, reduce manual effort, and strengthen ongoing monitoring of NSA activity. • Integrate NSA inventory, liability, and payment information into actuarial reserving, forecasting, and financial reporting processes. • Prepare analyses, summaries, and presentation materials that clearly communicate NSA financial results, emerging trends, key risks, and recommended areas of focus. • Participate in NSA working sessions and stakeholder meetings to understand operational changes, evaluate financial implications, and provide actuarial perspective on strategic initiatives. • Monitor regulatory, operational, and claims-related developments that may affect NSA financial results and communicate findings to actuarial leadership. • Support ad hoc analyses and special projects across key actuarial functions, including reserving, pricing, forecasting, and other financial or business needs. • Lead and support team members by setting priorities, reviewing analytical work, providing coaching, and ensuring timely delivery of high-quality NSA actuarial deliverables.

🎯 Requirements

• Bachelors degree required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field. • Requires 7+ years of Actuarial and/or statistics experience and attainment of Associate level in the Society of Actuaries (ASA). • Prefers supervisory experience. • Exposure to NSA highly preferred. • Additional licensing, certifications, registrations: ASA required. • Requires expert knowledge of Excel. • Requires advanced proficiency with SAS. • Requires trend, actuarial forecast and reserves experience. • Knowledge of NSA regulations.

🏖️ Benefits

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