Staff Actuary
RemoteHealth OtherExperience StudiesPredictive Modelling & MLData Engineering
Role Summary
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Senior health actuarial role (Staff Actuary) focused on cost savings and impact analytics for Cohere Health. You will build and maintain claims- and activity-based models, design methodologies and experience studies, and partner cross-functionally with clinical, product, analytics, and data engineering teams. Fully remote (US) position for an experienced actuary to shape actuarial capabilities and measure clinical and financial impact.
JOB DESCRIPTION SUMMARY
- Lead cost savings and impact modeling for healthcare programs
- Develop actuarial methodologies and conduct experience studies
- Work with large claims datasets; Advanced SQL and Excel required
- Fully remote role with ~5% travel; senior individual contributor
- Ideal for senior health actuary with 8+ years and ASA/FSA preferred
DOMAIN EXPERTISE
- Health actuarial pricing and medical trend analysis
- Cost savings and impact modeling with claims data
- Experience with ICD-10, DRG, CPT/HCPCS coding
- Work with large healthcare datasets and member/provider data
- Advanced SQL and Excel for analytics
KEY REQUIREMENTS
- 8+ years of health actuarial experience
- Expertise with claims data (ICD-10, DRG, CPT/HCPCS)
- Advanced SQL and Excel required; Python or R preferred
- Bachelor’s degree required
- Proven ability to lead complex analytical initiatives end-to-end
TECH STACK
- Excel