[Remote] Actuarial Analyst III (Government Programs Trend & AI)

Note: The job is a remote job and is open to candidates in USA. Horizon Blue Cross Blue Shield of New Jersey is hiring a senior actuarial analyst to support Government Programs trend forecasting, pricing, benefit and legislative impact analyses, and actuarial initiatives. The role also partners with business stakeholders to identify AI use cases, develop small-scale solutions, and advance AI adoption in actuarial trend work.

Responsibilities

• 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 proposed state and federal legislative and regulatory changes
• Conduct experience studies and detailed analyses to identify cost drivers, utilization patterns, and emerging trends
• Proactively identifies, shapes, and documents AI use cases in partnership with business unit stakeholders, ensuring proposed opportunities are grounded in business need, aligned to the business unit's strategy
• Accountable for AI adoption and utilization within the business unit
• Support additional actuarial projects and initiatives as assigned
• Collaborate with internal stakeholders and incorporate feedback from cross-functional business partners
• Prepare reports and presentations that communicate findings, recommendations, and key insights to management
• Complete ad hoc modeling, forecasting, and analytical projects as needed

Skills

• Bachelor's degree required
• Minimum of 4 years of actuarial, statistical, healthcare analytics, or related experience required
• Knowledge of artificial intelligence concepts, tools, and platforms at a practical working level, including generative AI, large language models, prompt engineering, AI assistants, and low-code/no-code AI development tools
• Advanced proficiency in Microsoft Excel required
• Strong analytical, mathematical, and statistical problem-solving skills
• Excellent verbal and written communication skills, with the ability to present complex information clearly and effectively
• Demonstrated critical thinking, sound judgment, and attention to detail
• Ability to work independently while managing multiple priorities in a deadline-driven environment
• Requires strong mathematical skill and statistical analysis abilities
• Requires good judgment and problem solving skills
• Preferably in Actuarial Science, Mathematics, Statistics, Economics, Data Science, or a related quantitative field
• Progress toward Associate of the Society of Actuaries (ASA) designation is highly preferred
• Health insurance, healthcare, or managed care experience is preferred
• ASA highly preferred
• ASA Certification preferred
• Experience with SAS, SQL, R, Python, or similar analytical/programming tools preferred
• Working knowledge of actuarial concepts, data analysis, and statistical methodologies preferred

Benefits

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

Company Overview