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NJM Insurance Group

Actuarial Analyst III

NJM Insurance Group

Senior Actuarial Analyst working in healthcare, focusing on premium rate development and regulatory compliance initiatives. Collaborating across teams to apply actuarial methodologies and statistical analysis for financial outcomes.

Posted 7/3/2026full-timeRemote • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $102,600 - $140,070 per yearWebsite

Tech Stack

Tools & technologies
PythonSQL

About the role

Key responsibilities & impact
  • Assist in the development and maintenance of premium rates for the Individual and Small Group markets.
  • Support the preparation, validation, and submission of premium rate filings to state and federal regulatory agencies.
  • Analyze and evaluate proposed benefit design and cost-sharing changes to determine financial and actuarial impacts.
  • Conduct pricing analyses, actuarial studies, and financial modeling to support product and rate development initiatives.
  • Assess the impact of proposed state and federal legislative, regulatory, and healthcare reform changes on pricing and product strategy.
  • Perform Mental Health Parity compliance reviews and support related regulatory reporting requirements.
  • Conduct experience analyses and drill-down studies to identify emerging trends, utilization patterns, and key cost drivers.
  • Develop ad hoc actuarial models and analytics to support strategic decision-making and business initiatives.
  • Collaborate with Product, Finance, Underwriting, Regulatory, Compliance, and other business partners to evaluate assumptions and recommendations.
  • Review and analyze data from multiple sources to support actuarial projections and risk assessments.
  • Prepare reports, presentations, and recommendations for management, clearly communicating complex actuarial concepts and analytical findings.

Requirements

What you’ll need
  • Bachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, Finance, or a related quantitative field
  • Minimum of four (4) years of actuarial, statistical, healthcare analytics, or related quantitative experience
  • Progress toward Associate of the Society of Actuaries (ASA) designation preferred
  • Experience supporting actuarial pricing, modeling, forecasting, or financial analysis initiatives
  • Working knowledge of premium rate development, healthcare pricing, and actuarial methodologies
  • Familiarity with state and federal regulatory requirements related to health insurance products
  • Strong understanding of actuarial principles, statistical methodologies, and quantitative analysis techniques
  • Advanced proficiency in Microsoft Excel, including complex formulas, modeling, pivot tables, and data analysis
  • Experience with SAS, SQL, R, Python, or other statistical and analytical programming languages 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 ScienceStatistical AnalysisQuantitative AnalysisData AnalysisPricing AnalysisExperience AnalysisCost-Sharing AnalysisFinancial AnalysisPremium Rate DevelopmentActuarial Methodologies
Soft Skills
CommunicationCollaborationAnalytical ThinkingProblem Solving
Certifications
Bachelor's DegreeAssociate of the Society of Actuaries (ASA)