Horizon Blue Cross Blue Shield of New Jersey
Skills: Python, SQL
Horizon Blue Cross Blue Shield of New Jersey(https://himalayas.app/companies/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 senior level actuary analyst position resides within the Actuarial Department and focuses on Government Programs (Medicare, PDP, DSNP, Medicaid) Trend Forecasting. The role is responsible for supporting the evaluation of proposed benefit and cost-sharing changes, conducting pricing studies, assessing the impact of state and federal legislative changes, and contributing to various actuarial initiatives. The position applies actuarial principles, mathematical modeling techniques, and statistical analysis to evaluate risk and support sound business and pricing decisions. Additionally, this role serves as a key AI integration partner responsible for driving the adoption and effective use of AI across actuarial trend work. The individual will apply expertise in trend development and identification of key cost and utilization drivers to shape high-value use cases, deliver small-scale AI solutions, advance innovation, monitor adoption outcomes, and escalate misalignment or stalled progress.
What You'll Do
Assist in the development of forecasted trends. Evaluate proposed benefit and cost-sharing changes and assess their financial impact. Conduct pricing analyses and studies for product lines of business. Analyze the impact of propo …truncated…
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