RATP, MA MYRA/FYRA

accruals, and RADV financial impacts. Perform or support data analytics and reporting to inform risk adjustment operations, strategy, submissions, and vendor performance. Perform or support financial metrics pertaining to risk adjustment performance, including but not limited to intervention ROI. Collect and analyze data to use for financial and utilization reporting and monitoring. Support pricing and forecast efforts, including ACA pricing and MA Bid submissions.

What You Bring Education/Experience:

Bachelors degree is required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university. Requires 2+ 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 working knowledge of Excel. Prefers experience with SAS or other programming language. Prefers 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:

$79,100 - $105,945 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. 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Actuarial Analyst II