Lead Actuarial Analyst - Remote

Overview

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

In Short

• Analyze and model cost-saving initiatives in the prior authorization process.
• Collaborate with cross-functional teams to enhance efficiency and effectiveness.
• Prepare detailed reports and presentations for senior leadership.
• Act as a trusted advisor to stakeholders on cost-saving strategies.
• Implement innovative approaches for continuous improvement.
• Create documentation on analytical methodologies and workflows.
• Work independently in a fast-paced, high-intensity environment.
• Ensure compliance with clinical and regulatory standards.
• Engage in customer meetings to communicate value propositions.
• Lead post-implementation assessments to measure impact.

Requirements

• Associate of the Society of Actuaries (ASA) required.
• 7+ years of experience in healthcare analytics or similar roles.
• Familiarity with prior authorization and utilization management.
• Ability to transform complex data into actionable insights.
• Advanced proficiency in Excel and SQL.
• Excellent interpersonal skills for collaboration.
• Passionate about improving the U.S. healthcare system.
• Self-starter with the ability to work independently.

Benefits

• Health insurance.
• 401k plan.
• Bonus opportunities.
• Supportive and growth-oriented environment.
• Recognition for impactful work.