Actuarial Analyst III

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

The Actuarial Analyst III is an experienced actuarial professional responsible for performing advanced actuarial analyses, forecasting, financial modeling, pricing, and reporting activities that support key business decisions across the organization. This role applies actuarial principles and statistical techniques to evaluate financial performance, analyze healthcare utilization trends, develop pricing recommendations, and support strategic initiatives.

The Actuarial Analyst III serves as a subject matter resource within the department, working independently on complex assignments while collaborating with actuarial leadership and business partners to deliver data-driven insights that support organizational goals.

What You'll Do

Data Analysis & Reporting 

• Collect, analyze, and interpret financial, claims, membership, and utilization data to support actuarial studies and business initiatives. 

• Develop and maintain recurring actuarial reports, dashboards, and analyses. 

• Support the monitoring and reporting of key financial and operational metrics, including Incurred But Not Reported (IBNR) estimates. 

• Validate data integrity and ensure accuracy of actuarial analyses and reporting. 

Trend Analysis & Forecasting 

• Perform trend analyses to evaluate healthcare cost, utilization, and membership patterns. 

• Support forecasting activities related to medical costs, enrollment, utilization, and financial performance. 

• Analyze historical data and emerging trends to assist in projecting future business outcomes. 

• Identify opportunities and risks through quantitative analysis and predictive modeling. 

Pricing & Financial Analysis 

• Develop, maintain, and enhance actuarial pricing models. 

• Support product pricing and financial evaluations, including:  

• Rate development and regulatory filings 

• Benefit adjustment factor analysis 

• Fee schedule evaluations 

• New product pricing 

• Cost and profitability analyses 

• Assist in assessing the financial impact of benefit, provider, and regulatory changes. 

• Provide analytical support for strategic business initiatives and product development efforts. 

Professional Development & Collaboration 

• Apply actuarial principles and methodologies to solve complex business challenges. 

• Collaborate with Finance, Underwriting, Product Development, Operations, and other business teams. 

• Present analytical findings and recommendations to actuarial leadership and business stakeholders. 

• Support process improvement initiatives designed to enhance efficiency, reporting accuracy, and analytical capabilities. 

• Continue professional actuarial development through exam progression and technical skill enhancement. 

What You Bring

Education/Experience:

• Bachelor degree is required preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.

• Requires 4+ years of actuarial and/or statistics experience or attainment of Associate level in the Society of Actuaries (ASA)

Additional licensing, certifications, registrations:

• ASA candidate a plus.

Knowledge:

• Requires expert knowledge of Excel.

• Prefers working knowledge of Access or other database application.

• Prefers experience with SAS or other programming language.

• Requires knowledge of data analysis and Actuarial principles.

Skills and Abilities:

• Requires good 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:

$87,300 - $119,070

​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.