Cohere Health is hiring a
Senior Director

Summary

The job is for a Senior Director & Head Actuary at Cohere Health, a fast-growing clinical intelligence company. The role involves leading the actuarial team, developing innovative models for utilization management and prior authorization, collaborating with executive leadership, and serving as the primary actuarial liaison with client health economics teams.

Requirements

• Bachelor’s or Master’s degree in Actuarial Science, Mathematics, Statistics, or a related field
• Fellow of the Society of Actuaries (FSA) or equivalent certification
• Minimum of 8 years of actuarial experience in healthcare, with a focus on claims trending, utilization management, underwriting, and/or benefits management analytics
• Proven experience in a leadership role with experiencing managing teams and complex projects
• Strong background in health economics and payer experience required
• Expertise in actuarial modeling, statistical analysis, and predictive analytics
• Proficiency in programming languages and tools such as Python, R, SQL, and actuarial software
• Excellent communication and presentation skills, with the ability to convey complex concepts to non-technical audiences
• Strong analytical and problem-solving abilities, with a keen attention to detail
• Ability to work collaboratively in a fast-paced, dynamic environment

Responsibilities

• Lead the actuarial team in developing innovative models and strategies for utilization management and prior authorization for new and existing clinical programs
• Collaborate closely with executive leadership to align actuarial initiatives with the company’s strategic goals
• Serve as the primary actuarial liaison with client health economics and actuarial teams
• Present and coordinate analyses, findings, and recommendations to ensure client alignment with forecasts and assessments
• Oversee the development, validation, and maintenance of value and savings methodologies
• Develop standards and processes to ensure the accuracy, reliability, and relevance of actuarial models, analyses, and reports
• Continuously monitor and improve models to ensure they meet the evolving needs of clients, regulatory requirements, and internal stakeholders

Benefits

The salary range for this position is $190,000 to $230,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus