Medicaid Actuarial Analyst II — Forecast & Insights
$79.1k - $105.95kHorizon Blue Cross Blue Shield of New Jersey - Headquarters
Horizon Blue Cross Blue Shield of New Jersey is seeking a mid-level analyst to perform actuarial analysis within its Medicaid business. This role requires collaboration with various departments to evaluate medical cost trends, ensure compliance with guidelines, and prepare detailed financial reports. Candidates should possess a Bachelor's degree and 2-4 years of relevant experience, with strong analytical and quantitative skills. The salary range for this position is $79,100 - $105,945, along with comprehensive benefits including health care and a generous PTO policy. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
$79.1k - $105.95k
...their best and succeed, the Company succeeds. About the Role This mid-level analyst role performs actuarial analysis for Horizon's Medicaid business, including reserving and valuation, forecasting, experience analysis, and rate advocacy. This role applies actuarial...SuggestedLive inLocal area$124k - $211k
...Job DescriptionThe Lead Actuary – Pharmacy Pricing leads complex... ...analyses into clear, actionable insights. The position leads high-... ...accountabilityMentor and support Analysts and junior Actuaries through... ...Commercial, Medicare, and/or Medicaid pharmacy benefitsDemonstrated...SuggestedWork experience placementLocal areaRemote workWork visa$80.9k - $103.95k
...platforms) to accelerate analysis, automate workflows, and enhance insight generation. The ideal candidate proactively incorporates AI... ...reporting capabilities to build scalable pipeline visibility, forecasting, and performance tracking tools. • Utilizes AI tools to...SuggestedContract workTemporary workWork experience placementLocal areaImmediate startFlexible hours$97.8k - $133.46k
...succeeds. About the Role The Data Financial Reporting Analyst will be assigned to the Government Programs... ...analysis of monthly results vs. budgets and forecasts). Support reporting of DMHAS requirements driving Medicaid revenue. Responsible for least 2-4 special projects...SuggestedFull timeLive inLocal area$79k - $127.65k
...the best talent for a Senior Financial Analyst, Engineering & Property Services (E&PS)... ...consolidating and reporting on key financial forecasts and actuals submissions for global real... ...strong financial acumen and process insights to advise business partners and finance...SuggestedFull timeWork at officeLocal areaImmediate startFlexible hours$143k - $243k
...career? Come build the future of pharmacy with us.Senior Principal Actuary - REMOTEJob DescriptionThe Senior Principal Actuary is... ...organization or PBM.Previous experience pricing Commercial, Medicare or Medicaid lines of businesses.Previous experience in underwriting or risk...Work experience placementLocal areaRemote workVisa sponsorshipWork visa$55 - $70 per hour
...We are seeking an experienced Medicaid Analyst responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Accountable for submitting...Weekly payContract workWork experience placementFlexible hours$105.79k - $141.05k
...recommended for the role of Sr Lead Finance Analyst 342273. The Senior Lead Finance... ...driven analytics, to deliver actionable insights and support strategic decision-making. The... ...cross-functional teams to ensure accurate forecasting, budgeting, and reporting while driving...Full timeTemporary workRemote work$86.4k
...risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Uses functional... ...organizational knowledge to mentor Associate and Intermediate Data Analysts. Leads project teams or actively participate as subject matter...For contractorsWork at officeLocal areaRemote work$35.6 - $55.62 per hour
Capgemini is seeking a Data Analyst in Hopewell, NJ. This role involves interpreting data and maintaining data systems to facilitate data-driven decisions in pharmaceutical and life sciences contexts. Required skills include strong analytical abilities and experience with...Hourly pay$80k - $94k
...Business Operations Analyst to join our dynamic team supporting the U.S. Department of Homeland Security. This role is ideal for someone... ...to process and distill complex information into actionable insights Quantitative and qualitative research skills Strong organizational...Contract workWork at office$124k - $211k
Prime Therapeutics is seeking a Lead Actuary to lead complex pharmacy pricing and rebate analyses. This role will partner with senior leaders to develop client-specific pricing recommendations and mentor team members. Candidates should hold a Bachelor’s degree in a related...$79.1k - $105.95k
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...Live inLocal areaWeekend work$81k - $138k
...Senior Analyst – Pharmacy Pricing - REMOTE At Prime Therapeutics... .... This role partners with actuaries and senior leaders to deliver... ...and translate data into clear insights. The position works on high‑impact... ...in Commercial, Medicare, or Medicaid rate setting Experience...Work experience placementLocal areaRemote workVisa sponsorshipWork visa$18.11 - $28.86 per hour
...Insurance Verification Analyst - Full Time Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic...Hourly payFull time$92k - $148.35k
...informed and inspired by patients, whose insights fuel our science-based advancements.... ...are searching for the best talent for an Analyst, Precision Medicine Project Manager in Titusville... ..., risks & reasons to those risks, forecast variance and financial accounting for...Full timeTemporary workWork at officeLocal areaImmediate start$70.44k - $81.85k
...maintaining the highest levels of service, integrity, and financial stewardship. The Claims Department is seeking a Business Insights Analyst, Associate applies an understanding of data sources and associated business processes to provide management with research,...Full time$75.3k - $100k
...operate more effectively, generate meaningful insights at scale, and ultimately support... ...urgency. Purpose: The Senior Business Analyst serves as a strategic finance partner to... ...that inform investment decisions, forecasting accuracy, and cost optimization. Reporting...Full timeWork at office$105.6k - $140.7k
...Talent Acquisition is seeking a Talent Acquisition Business Analyst to deliver insights that elevate recruiting performance, guide strategic... ...TA leaders and change management partners-ensuring hiring forecasts, capacity planning, and resource allocation are aligned, actionable...Local areaRemote workWork from homeRelocationRelocation packageFlexible hours$62.1k - $85.1k
...outcomes and set new standards of care. The Junior Analyst, Commercial Operations Analytics supports data-driven... ...Sales Operations by assisting with reporting, analytics, forecasting support, and operational insights. This role focuses on executing standardized analytics...Temporary workInternshipWork at officeLocal area$110k - $140k
...Business Systems Analyst - Insurance P&C $110,000 - $140,000 + hybrid schedule + medical, dental, vision, 401(k) match, PTO, parental leave, life insurance, disability coverage, and employee assistance programs. Join a direct writer auto insurance company operating...- ...The Business Analyst, Pricing and Underwriting , is responsible for the compilation,... ...Specialty pricing models, support financial forecasting, and contribute to strategic economic... ...data-mining queries to produce actionable insights for pricing and business strategy....Full timeTemporary workWork at officeRemote workWork from home
$81k - $138k
...Prime Therapeutics is seeking a Senior Analyst – Pharmacy Pricing to support the development of pricing analyses for its clients. This remote role requires strong analytical skills, a Bachelor’s degree in relevant fields, and 5+ years of analytical experience, preferably...Remote work- ...Job Title: Appeal Analyst RN I Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $40 - $... ...reimbursement/payment systems. Knowledge of Medicare and Medicaid prospective payment system regulations. Familiarity with ACCESS...Daily paidContract work
$69.7k - $112.8k
...The Performance Analyst, Mid monitors and analyzes the performance of enterprise IT systems... ..., and alerts that provide actionable insights to operations, engineering, and security... ...trend analysis and capacity assessment to forecast performance risks and recommend scaling,...Contract workWork at officeRemote work$87k
...status (e.g., part-time). Minimum Pay: $86,964.80 Position Overview VERSION:1 JOB TITLE:IT Clinical Applications Systems Analyst II COST CENTER:000000 JOB CODE:70118 FLSA Exemption Status:Exempt Telecommuting Eligible: SUMMARY (Basic Purpose of the...Full timePart timeRemote work$91.6k - $107.2k
...Sr. Data Analyst At Lingraphica, we are dedicated to improving lives by helping individuals... ...ability to turn data into actionable insights across Product, Sales, Marketing, and... ...transformation. Exposure to ML workflows or forecasting models. Experience with Git, CI/CD,...Work from homeMonday to Friday$85k - $105k
...Finance And Customer Service Operations Analyst Reporting to the Executive Director,... ..., and commercial platforms) to generate insights, improve processes, and support financial... ...cross-functional stakeholders. Support forecasting, accruals, and financial analysis...Contract work- ...manufacturing costs, identify trends, and provide actionable insights to improve profitability. Partner with operations to monitor... ...compliance with GAAP and internal controls. Assist with budgeting, forecasting, and long-range planning. Support audits and provide...
$58.74k - $74.03k
The Real Time Analyst position plays a crucial role in monitoring and managing the performance... ...of agents are available to answer forecasted volume of incoming calls across all queues... .... Provide real-time updates and insights to management. Manage WFM mailboxes and...Full timeWork from homeMonday to FridayShift work
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