Mgr, Actuarial II

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 role will lead the newly created No Surprises Act (NSA) actuarial team, with responsibility for developing and overseeing actuarial forecasts, reserves, financial analyses, and reporting related to federal NSA activity. The Actuary Manager II will partner across Actuarial, Finance, Operations, Legal, HNS and vendor teams to improve data collection and monitoring processes, assess emerging financial impacts, and communicate key results, risks, and recommendations to stakeholders and senior leadership.

What You'll Do

• Lead the actuarial workstream for NSA, including forecasts, reserve estimates, liability monitoring, profitability analyses, and financial impact assessments.

• Partner with Actuarial, Finance, Operations, Legal, HNS, and vendor contacts to gather, validate, and interpret data required for NSA financial analysis and reporting.

• Develop and maintain documentation of NSA data sources, assumptions, methodologies, process flows, and reporting definitions to support consistency and auditability.

• Create recurring reporting packages that summarize NSA inventory trends, liability movements, payment activity, financial impacts, and notable operational developments.

• Identify opportunities to improve data quality, streamline data collection, reduce manual effort, and strengthen ongoing monitoring of NSA activity.

• Integrate NSA inventory, liability, and payment information into actuarial reserving, forecasting, and financial reporting processes.

• Prepare analyses, summaries, and presentation materials that clearly communicate NSA financial results, emerging trends, key risks, and recommended areas of focus.

• Participate in NSA working sessions and stakeholder meetings to understand operational changes, evaluate financial implications, and provide actuarial perspective on strategic initiatives.

• Monitor regulatory, operational, and claims-related developments that may affect NSA financial results and communicate findings to actuarial leadership.

• Support ad hoc analyses and special projects across key actuarial functions, including reserving, pricing, forecasting, and other financial or business needs.

• Lead and support team members by setting priorities, reviewing analytical work, providing coaching, and ensuring timely delivery of high-quality NSA actuarial deliverables.

What You Bring

Education/Experience:

• Bachelors degree required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field.

• Requires 7+ years of Actuarial and/or statistics experience and attainment of Associate level in the Society of Actuaries (ASA).

• Prefers supervisory experience.

• Exposure to NSA highly preferred

Additional licensing, certifications, registrations:

• ASA required

Knowledge:

• Requires expert knowledge of Excel.

• Requires advanced proficiency with SAS.

• Requires trend, actuarial forecast and reserves experience.

• Knowledge of NSA regulations

Skills and 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.

• Requires strong managerial skills.

• Requires strong leadership 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:

$125,000 - $170,625

​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

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.