Actuarial Analyst III

Role Description

This Senior Actuarial Analyst position resides within the Actuarial Department and plays a key role in supporting premium rate development and pricing strategies for the Large Group market. The role is responsible for:

• Analyzing and evaluating proposed benefit and cost-sharing changes.
• Conducting pricing and financial impact studies.
• Assessing the implications of state and federal legislative and regulatory changes.
• Supporting Mental Health Parity compliance reviews.

Working closely with actuarial, finance, product, and regulatory teams, this position applies advanced actuarial methodologies, statistical analysis, and predictive modeling techniques to assess risk, evaluate financial outcomes, and support data-driven business decisions. The Senior Actuarial Analyst also contributes to a variety of strategic and operational initiatives, helping ensure pricing accuracy, regulatory compliance, and the long-term financial sustainability of the organization's products and programs.

Qualifications

• Bachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, Finance, or a related quantitative field from an accredited college or university, or an equivalent combination of education and relevant experience.
• Minimum of four (4) years of actuarial, statistical, healthcare analytics, or related quantitative experience.
• Progress toward Associate of the Society of Actuaries (ASA) designation preferred.
• Experience supporting actuarial pricing, modeling, forecasting, or financial analysis initiatives.

Requirements

• Experience within the health insurance or managed care industry.
• Working knowledge of premium rate development, healthcare pricing, and actuarial methodologies.
• Familiarity with state and federal regulatory requirements related to health insurance products.
• Progress toward or attainment of ASA designation strongly preferred.

Benefits

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

Company Description

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.