Job Summary:
This is a mid-level manager position within the Actuarial department. This role will be primarily responsible for expanding and maintaining the Executive Intelligence System (EIS) across all lines of business. The individual will work with key stakeholders across the enterprise to understand and consider varying MLR characteristics by market, products, and member.
- Support key Actuarial functions by providing innovative insights through the EIS.
- Perform actuarial analysis specifically related to the MLR of each line of business.
- Continuously monitor and assess the capabilities of the EIS to help support future enterprise goals.
- Communicate and present the EIS to varying stakeholders within the organization to help support their goals.
- Develop and implement new ways to view our MLR information that lead to actionable changes within our business.
- Accountable for maintaining effective internal controls over the processes and transactions under areas of responsibility including the completeness and accuracy of financial information and transactions, compliance with applicable laws and regulations, and the effectiveness and efficiency of operations.
Education/Experience:
- Requires a Bachelors degree, preferably within Mathematics, Statistics, Actuarial Sciences or a related field.
- Requires 7+ years of Actuarial and/or statistics experience.
- Associate of Society of Actuaries (ASA) required.
- Supervisory experience preferred.
Knowledge/Skills:
- Requires expert knowledge of Excel
- Prefers working knowledge of Access or other database applications
- Experience with SAS or other programming languages a plus
- Requires strong working knowledge of data analysis and Actuarial principles
- Requires in-depth knowledge of the healthcare industry
- Requires excellent oral and written communication skills
- Requires strong analytical thinking
- Requires strong mathematical skills and statistical analysis abilities
- Requires good judgment and problem solving skills
- Requires strong managerial and leadership skills
Salary Range:
$119,700 - $163,380
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.
Working at
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey, a leading health insurance provider, has been at the forefront of serving the health needs of New Jersey residents for over 90 years. As a not-for-profit health service corporation, Horizon BCBSNJ is committed to delivering quality health care products, services, and information. Their dedication to improving health outcomes, combined with a deep understanding of the local community, offers actuaries a unique opportunity to work on impactful projects, drive health innovations, and contribute to a healthier New Jersey.