Actuarial Analyst II (Stop Loss)
纽约州的蓝十字绿盾赋予我们的成员能力，以达到他们最好的健康.90多年来，我们一直是新泽西州的卫生解决方案领导者，推动了改善医疗保健质量，可负担性和会员体验的创新。我们的成员是我们的邻居，朋友和家庭。这就是这种理解驱使我们更好地为信任我们的人群服务和照顾3.5百万人。我们自豪的是我们在班级中最优秀的员工，并努力保持一个让他们壮成长的创新的和包容环境。当我们的员工尽最大努力成功时，公司就会取得成功。关于角色 这是一位在 Actuarial 部门中级分析师。包括与 Stop Loss 和 Level Funded 组相关的审核工作的所有方面。负责定价，UW 支持，预订和预测具体和总量停止损失，以及水平融资。你将做什么 ·设计，执行或支持趋势分析 · 进行定价，UW 支持和预测特定和总量停滞损失，并提供等级融资。· 执行或支持预测 · 支持新业务和续售价格决策，包括承包咨询和风险评估。· 开发或支持制定价格模型和支持价格要求，其中可能包括：利益调整因素，费用安排分析，新产品定价等。·收集和分析数据用于金融和利用率分析，报告和监测 （包括 IBNR）·与内部和外部客户合作开发创意解决方案和战略，发现机会并降低风险。· 支持公司策略和商业计划的发展，以促进会员增长和财务强；• 与企业伙伴进行会议，为执行审核分析和结果提供透明度和理解。·需要学士学位，最好是从认可的学院或大学获得数学，统计，实验科学或相关领域。· 要求2年以上实验和/或统计经验。· 致力于获得高度优先级的 ASA. · 具有水平资助产品，医疗停止损失或再保险产品的经验。知识：· 从现实和 UW 视角对 Stop Loss 产品的特征的卓越知识。· 对重保行业的知识。
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Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
This is the mid-level analyst position within Actuarial department. Includes all aspects of actuarial work, as related to Stop Loss and Level Funded groups. Responsible for pricing, UW support, reserving and forecasting for both Specific and Aggregate Stop Loss, as well as Level Funding.What You'll Do
- Design, perform or support trend analysis
- Perform pricing, UW support, reserving and forecasting for both Specific and Aggregate Stop Loss, as well as Level Funding.
- Perform or support forecasting
- Support new business and renewal pricing decisions, including underwriting consultation and risk assessment.
- Develop or support the development of pricing models and support pricing requests which may include, benefit adjustment factors, fee schedule analysis, new product pricing, etc.
- Collect and analyze data to use for financial and utilization analysis, reporting, and monitoring (including IBNR)
- Partner with internal and external customers to develop creative solutions and strategies, uncover opportunities and minimize risks
- Support corporate strategies and business plan development for membership growth & financial strength
- Lead meetings with business partners providing transparency in and an understanding of the actuarial analyses and results
What You Bring
Education/Experience:
- Requires a Bachelor’s degree, 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.
- Working towards an ASA highly preferred.
- Experience with Level Funded products, medical Stop Loss or Reinsurance products preferred.
Knowledge:
- Excellent knowledge of features of Stop Loss product, from both Actuarial and UW perspective.
- Knowledge of the Reinsurance industry
- Requires expert knowledge of Excel.
- Experience with SQL, SAS, Tableau, Power BI, or other analytical/reporting tools preferred.
- Requires strong working knowledge of data analysis and Actuarial principles.
- Requires in depth knowledge of the healthcare industry.
Skills & Abilities:
- Requires excellent oral and written communication skills.
- Requires strong analytical thinking.
- Requires strong mathematical skill and statistical analysis abilities.
- Requires good judgment and problem-solving skills.
Why Horizon?
At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!
Salary Range:
$79,100 - $105,945This 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
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
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.
Originally posted on Himalayas