Mgr, Actuarial III

Horizon Blue Cross Blue Shield of New Jersey is seeking a Manager, Actuarial III to lead actuarial studies and ensure long-term growth, profitability, and compliance with state mandates & regulations. The role requires partnership and cooperation with Sales, Underwriting, and Finance to achieve organizational goals.RequirementsMonitor the financial performance of the large employer fully insured marketsLead actuarial studies to refresh rating methodology and factors and manage the implementation of updates within the Stepwise rating engineMonitor and evaluate discount metrics for the large employer self-insured markets, identifying data quality issues and developing strategies to improve performance and accuracyConduct pricing studies for new state mandates or other non-standard underwriting requestsOversee Mental Health Parity testing & complianceForecast and manage performance guarantees for self-insured employers including the State Health Benefit PlanBenefitsComprehensive health benefits (Medical/Dental/Vision)Retirement PlansGenerous PTOIncentive PlansWellness ProgramsPaid Volunteer Time OffTuition ReimbursementOriginally posted on Himalayas