Actuarial Analyst III – Government Programs Trend, AI

This is a fully remote position, open to applicants in Connecticut, +3 more states.

📋 Description

• Assist in formulating anticipated trends.

• Evaluate proposed changes to benefits and cost-sharing and assess their financial implications.

• Perform pricing analyses and studies for various product lines.

• Analyze the effects of proposed legislative and regulatory changes at both state and federal levels.

• Conduct experience studies and in-depth analyses to identify cost drivers, utilization patterns, and emerging trends.

• Identify, define, and document AI use cases in collaboration with business unit stakeholders.

• Promote the adoption and utilization of AI within the business unit.

• Support various actuarial projects and initiatives as assigned.

• Collaborate with internal stakeholders and cross-functional partners.

• Prepare reports and presentations that communicate findings, recommendations, and key insights to management.

• Complete ad hoc modeling, forecasting, and analytical projects as required.

⛳️ Requirements

• A bachelor's degree is required, ideally in Actuarial Science, Mathematics, Statistics, Economics, Data Science, or a related quantitative discipline.

• A minimum of 4 years of experience in actuarial, statistical, healthcare analytics, or a related field is required.

• Progress toward an Associate of the Society of Actuaries (ASA) designation is highly preferred.

• Experience in health insurance, healthcare, or managed care is preferred.

• Practical working knowledge of artificial intelligence concepts, tools, and platforms, including generative AI, large language models, prompt engineering, AI assistants, and low-code/no-code AI development tools.

• Advanced proficiency in Microsoft Excel is required.

• Familiarity with SAS, SQL, R, Python, or similar analytical/programming tools is preferred.

• Working knowledge of actuarial concepts, data analysis, and statistical methodologies is preferred.

• Strong analytical, mathematical, and statistical problem-solving capabilities.

• Excellent verbal and written communication skills, with the ability to clearly and effectively present complex information.

• Demonstrated critical thinking, sound judgment, and attention to detail.

• Ability to work independently while managing multiple priorities in a deadline-driven environment.

• Strong mathematical skills and capabilities in statistical analysis.

• Good judgment and problem-solving skills.

• Horizon BCBSNJ employees must reside in New Jersey, New York, Pennsylvania, Connecticut, or Delaware.

🏝️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision).

• Retirement Plans.

• Generous PTO.

• Incentive Plans.

• Wellness Programs.

• Paid Volunteer Time Off.

• Tuition Reimbursement.