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H
Actuarial Analyst III – Government Programs Trend, AI
Horizon Connect @ Wall BCBSNJ. Assist in the development of forecasted trends .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in actuarial analysis, statistical methodologies, and healthcare analytics, with a strong focus on AI adoption and utilization. Proficient in data analysis and financial impact assessments, with advanced skills in Microsoft Excel and programming tools.
Highest-signal resume keywords
Actuarial AnalysisHealthcare AnalyticsAI AdoptionStatistical MethodologiesAdvanced Excel Proficiency
ATS Keywords
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Hard Skills
Actuarial AnalysisStatistical AnalysisData AnalysisForecastingPricing AnalysisExperience StudiesCost-Benefit AnalysisMathematical SkillsProblem SolvingAnalytical Skills
Soft Skills
Excellent Communication SkillsCritical ThinkingAttention to DetailJudgmentAbility to Manage Multiple Priorities
Tools & Technologies
Microsoft ExcelSASSQLRPythonGenerative AILarge Language ModelsPrompt EngineeringAI AssistantsLow-Code/No-Code AI Tools
Certifications & Qualifications
Bachelor's DegreeProgress Toward ASA Designation
Industry Keywords
HealthcareHealth InsuranceManaged CareRegulatory ChangesCost DriversUtilization PatternsForecasted TrendsFinancial ImpactCross-Functional CollaborationAd Hoc Modeling
Tech Stack
Tools & technologiesPythonSQL
About the role
Key responsibilities & impact- 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
- Identify, shape, and document AI use cases with business unit stakeholders
- Drive AI adoption and utilization within the business unit
- Support additional actuarial projects and initiatives as assigned
- Collaborate with internal stakeholders and cross-functional business partners
- Prepare reports and presentations communicating findings, recommendations, and key insights to management
- Complete ad hoc modeling, forecasting, and analytical projects as needed
Requirements
What you’ll need- Bachelor's degree required, preferably in Actuarial Science, Mathematics, Statistics, Economics, Data Science, or a related quantitative field
- Minimum of 4 years of actuarial, statistical, healthcare analytics, or related experience required
- Progress toward Associate of the Society of Actuaries (ASA) designation is highly preferred
- Health insurance, healthcare, or managed care experience is preferred
- 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
- Experience with SAS, SQL, R, Python, or similar analytical/programming tools preferred
- Working knowledge of actuarial concepts, data analysis, and statistical methodologies preferred
- 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
- Strong mathematical skill and statistical analysis abilities
- Good judgment and problem solving skills
- Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Benefits
Comp & perks- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement