Senior Healthcare Analyst, Actuarial

Summary

Join Cohere Health, a rapidly growing clinical intelligence company, as a Senior Healthcare Analyst in the Actuarial Department. This role demands strong data analysis skills, healthcare utilization and cost management expertise, and excellent communication abilities. You will conduct in-depth analyses, act as a client liaison, evaluate healthcare programs, and present findings to various stakeholders. The ideal candidate possesses advanced client-facing experience and thrives in high-pressure environments. This position offers significant growth opportunities within a supportive and inclusive company culture.

Requirements

• 5-8 years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry, preferably within a payer, provider, or managed care setting
• Strong understanding of healthcare cost drivers, claims data, and prior authorization processes
• Proficiency in SQL, Python, R, Excel, and data visualization tools (e.g., Tableau, Power BI)
• Strong client-facing experience, with the ability to navigate challenging conversations and high-pressure situations
• Excellent communication, storytelling, and presentation skills, particularly when explaining complex actuarial findings to non-technical audiences
• Strong data interpretation, statistical analysis and problem-solving skills
• Ability to transform complex data into actionable insights and clear, concise reports
• Excellent interpersonal skills to work with end users to develop QC metrics
• Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible
• Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment

Responsibilities

• Conduct in-depth analysis of utilization trends, cost drivers, and program impact assessments to support actuarial modeling and financial forecasting
• Act as a key liaison between the Actuarial team and clients, ensuring a clear understanding of methodologies, impact reports, and financial projections
• Evaluate healthcare intervention programs (e.g., nudge strategies, medical necessity determinations) and measure their impact on cost and utilization
• Develop and present actuarial insights, impact reports, and financial analyses to clients, executives, and cross-functional teams
• Work closely with clinical, data science, business intelligence, and product teams to ensure alignment on methodologies and data integrity
• Handle client inquiries, troubleshoot discrepancies in reporting, and manage high-stakes client discussions in stressful or time-sensitive situations
• Identify opportunities to enhance automation, streamline reporting, and improve actuarial analysis methodologies

Preferred Qualifications

Familiarity with prior authorization, utilization management processes

Benefits

• Health insurance
• 401k
• Bonus