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

• Develops and issues proposal rates for group size 100+ and experience rated proposals.
• Develops and issues experience rated renewals for group size 100+.
• Develops and issues renewal and proposal rates for alternately funded groups.
• Approves Group Enrollment Information (GEI) and Benefit Information Forms (BIFs) where applicable.
• Researches rate and benefit inconsistencies and issues corrections and/or recommendations.
• Assembles data and produces ERISA 5500 reports and settlements and issues to Sales, where applicable.
• Makes decisions to offer special financial arrangements to groups and monitors outcomes as required.
• Attends meetings with groups and brokers to discuss renewals and proposals and makes recommendations.
• Maintains and updates monthly financial reports necessary for Enterprise Operations.
• Performs other duties as assigned by management.

What You Bring

Education/Experience

• Minimum High School diploma or GED
• Bachelor's degree, preferred in Math, Statistics, or Accounting.
• Analysis experience preferred.
• Requires minimum three (3) year's experience in health insurance industry with experience in Rating/Underwriting.
• Stop Loss underwriting experience highly preferred.

Knowledge

• Requires knowledge of underwriting principles, benefit offerings, alternate financial mechanisms and rating methodology.
• Prefer knowledge of Horizon BCBSNJ products.
• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint).

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.