Actuarial Analyst II

NJM Insurance Group

Actuarial Analyst II conducting actuarial analysis for Medicaid business at Horizon Blue Cross Blue Shield. Evaluating medical costs and collaborating with internal stakeholders for improved performance.

Posted 5/13/2026full-timeRemote • New Jersey • 🇺🇸 United StatesJuniorMid-Level💰 $79,100 - $105,945 per yearWebsite

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

Support forecast development and financial projections, reserves and analytics for the Medicaid lines of business.
Assess the impact of proposed state and federal legislative changes.
Perform experience analysis for Medicaid products, including medical cost, utilization, and trend components.
Monitor emerging experience and identify drivers of variance from expected results.
Prepare actuarial exhibits, summaries, and documentation for internal leadership and external stakeholders.
Provide support for additional actuarial projects as requested.
Assist with Medicaid quarterly financial reporting, certifications, and responses to state inquiries.
Support analysis related to benefit changes, policy updates, and regulatory requirements.
Evaluate the financial impact of program changes, quality initiatives, and value‑based arrangements.
Ensure analyses align with CMS and state Medicaid guidelines.
Develop, maintain, and enhance actuarial models used for Medicaid analysis.
Validate data sources and ensure accuracy, consistency, and reasonableness of results.
Apply actuarial judgment in selecting assumptions and methodologies under guidance from senior staff.
Partner with Finance, Network, Clinical, and Operations teams to support Medicaid initiatives.
Communicate analytical results clearly to non‑actuarial stakeholders.
Respond to ad-hoc data requests and analytic questions related to Medicaid performance.

Requirements

What you’ll need

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field.
2–4 years of actuarial or analytical experience.
Medicaid, or other government programs health insurance preferred.
Strong analytical, problem‑solving, quantitative skills, and written and verbal communication skills.
Proficiency in Excel and exposure to actuarial or data tools (e.g., SQL, SAS, R, Python, or similar).
Working towards an ASA is highly preferred.
Additional licensing, certifications, registrations: Associate of the Society of Actuaries (ASA) preferred.
Familiarity with capitation rate development and regulatory filings highly preferred.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

actuarial analysisfinancial projectionsexperience analysisactuarial modelsdata validationquantitative skillsproblem-solvingassumptions selectionregulatory compliancecapitation rate development

Soft Skills

analytical skillscommunication skillscollaborationattention to detailorganizational skillsadaptabilitycritical thinkingstakeholder engagementpresentation skillstime management

Certifications

Bachelor’s degreeAssociate of the Society of Actuaries (ASA)actuarial certificationslicensingregistrations