Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health.  For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.  Our members are our neighbors, our friends, and our families.  It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. 

About the Role

What You'll Do

• Analyzes reporting needs, available data, and various methods of data retrieval to develop systems which are responsive to the needs of the department.
• Develops and maintains production reporting capabilities and monitors the timely and accurate production and distribution of standard and ad hoc reports.
• Provides statistical and analytical support to the division for continuing and special needs utilizing various software packages to extract and analyze data.
• Manages ad hoc reporting requests and assigns to staff.
• Manages the design and development of new reporting processes and assigns and trains staff to maintain processing once implemented.
• Serves as technical resource for the division.
• Provides requested reporting for compliance with mandates and DOBI required reporting.
• Attend client meetings as needed.
• Performs other duties as assigned by management.

What You Bring

Education/Experience:

• High School Diploma/GED required
• Bachelor degree preferred or relevant experience in lieu of degree
• Requires a minimum of five (5) years experience in health insurance, financial or actuarial fields utilizing statistics and programming applications.
• Requires experience with data related applications in the PC environment.
• Experience in healthcare analytics and underwriting preferred
• Strong understanding of health plan financial concepts, including premium, claims utilization, medical trend, loss ratio, membership, and underwriting assumptions.
   

Knowledge:

• Prefer knowledge of Databricks, Snowflake, Python, Power BI, SAS, SQL, Advanced Excel skills
• Prefer knowledge of data processing systems including input and retrieval mechanisms in the TSO and CICS environments.
• Prefer knowledge of Horizon BCBSNJ products and files.
• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint).

Skills and Abilities:

• Analytical & Problem Solving
• Attention to Detail
• Customer Focus
• Functional/Technical Job Skills
• Continuous Improvement
• Information Gathering
• Problem Solving

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:

​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.  Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.