Cohere Health is hiring a
Lead Actuarial Analyst, Remote - Worldwide

Summary

The Lead Actuarial Analyst will help drive Cohere's processes for evaluating and sizing savings for clients, working closely with various teams. This role offers growth opportunities and requires a candidate with 7+ years of professional experience in a health actuarial role, advanced knowledge of data analyses, excellent communication skills, a Bachelor's Degree in relevant fields, SQL experience, and Associate of the Society of Actuaries (ASA). The company offers a continuing education program for all Actuarial Analysts.

Requirements

• Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible
• 7+ years of professional experience in a health actuarial role (payer, provider, consulting), with experience in pricing, analyzing medical trend, financial modeling, and/or evaluating trend management & health intervention programs
• Advanced knowledge of observation data analyses with large datasets including medical, provider, member, pharmacy, and eligibility data – including familiarity with working with claims at the code level (ICD-10, DRG, CPT/HCPCS, revenue codes)
• Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment
• Excellent communication skills, with proven ability to create & deliver the results of analyses to non-technical audiences
• Bachelor’s Degree in Math, Statistics, Biostatistics, Actuarial Science, or Economics required
• SQL experience required, Python / R is a plus
• Associate of the Society of Actuaries (ASA)

Responsibilities

• Quickly understand Cohere’s products, services and clinical programs and how Cohere’s x-functional collaboration and workflow intersect with healthcare providers’ workflow and patients’ care journey
• Leverage data from various sources to evaluate expected Cohere performance and ROI for proposed clinical programs and interventions
• Evaluation of ROI in clinical programs across prospective & existing clients, and collaborate with clinicians, finance, data science, and growth teams to enhance Cohere’s capabilities
• Lead the impact performance presentation to clients and provide the clinical insights
• Guide actuarial analysts in maintenance, enhancement and review of financial models
• Maintain documentation of methodology of trend analysis/impact evaluation analysis and coding/programs of all analytic file building and actuarial analysis and models so they are ready to quickly scale to multiple programs and interventions

Benefits

• Bonus and salary increase upon successful completion of your ASA or FSA
• Reimbursements for required books and first attempt exam fee
• Company would reimburse the annual actuarial credential licensing fees
• Flexible PTO policy to accommodate the SOA exams