Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Job Summary:

The Actuarial Data Analyst is a seasoned analyst within the Actuarial department that is responsible for leading the development, support, and maintenance of the Actuarial Data Base in order to accurately provide P&L data at the member level. This position is also responsible for Product Governance and working with key stakeholders to ensure product information is captured correctly for the Enterprise. This role involves consistent collaboration and communication with IT and will provide updates to Actuarial Department and leadership on the status/progress of key issues.

• Lead the design of new data models and improving existing data processes to expand the scope of the data program in support of the Actuarial department and Segment Management Process.

• In collaboration with the Actuarial Modeling team, test new requirements, fields, and assist in validating data for new models.

• Work cross functionally to ensure that data processes are aligned with industry best practices and stakeholder needs.

• Troubleshoot issues and bugs independently. Plan for future data updates, indicators etc. and share/gain feedback from the rest of the department.

• Automate current Actuarial processes, including but not limited to Reserves, Trend, Forecasting, and Pricing.

• Advise and collaborate with IT on data issues and coming up with solutions. Communicate with and provide updates to department leadership on the status or progress of these issues. Lead the development of new sources/establishing automated feeds to reduce need for multiple teams to extract data from common sources.

• Regularly monitor issues and making sure solutions continue to work and are well documented.  Understand and be able to communicate the standing of any issues and impacts to work on various departments.

• Ensure a state of audit readiness and effectively communicate internally and externally database issues and how that can impact business processes.

• Collaborate with Actuaries to build and improve on the availability, integrity, accuracy, and reliability of data logging and data pipelines

• Act as the department representative on monthly Product Governance calls working with Data Governance, Analytics, IT, Product Development.

The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position.  This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.

QUALIFICATIONS

Education/Experience

• Bachelor’s degree preferred in Actuarial, Economics, Bioinformatics, Computer Science, or other quantitative fields.
• Relevant work experience in lieu of degree accepted.
• Requires a minimum of six (6) years of experience with programming or analytics, preferably in health care, insurance or related field; Prefers 6+ years’ data reporting experience.
• Requires experience with R, Tableau, PowerBI, or other programming languages

Additional Licensing, Certifications, Registrations

• Certified Actuarial Analyst a plus
• SAS or SQL certification a plus

Knowledge

• Requires knowledge of data analysis, Actuarial principles, and understanding interdependencies among data.
• Requires proficiency with very large data sets and software/coding (i.e. SAS, SQL).
• Requires proficiency in MS Office (Excel, PowerPoint, etc.).
• Prefers in-depth knowledge of the healthcare industry.
• R, Tableau, PowerBI, or other programming languages.

Skills and Abilities

• Strong database management skills required.
• Requires good oral and written communication skills.
• Ability to express analytic thoughts clearly and concisely both verbally and in writing (to various audiences.
• Organizational, Multitasking, Analytical Thinking, and strong Interpersonal Skills
• Requires analytical thinking ability.
• Requires customer-oriented focus.

Salary Range:

$93,000 - $127,050

​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This range has been created in good faith based on information known to Horizon at the time of posting.  Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.  Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.