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Role Summary

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HIGHLIGHTS

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
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Role Summary

Loading...

HIGHLIGHTS

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

Job Overview

Salary
$175k - $200k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 8+ years in payer/provider/consulting who has strong claims modeling and medical trend experience, advanced SQL and Excel skills, and is preferably an ASA or FSA.

Benefits

Remote FirstHealth InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanGenerous VacationPaid Parental LeavePet Insurance
Shortlist Forming
Closing Soon
87d
87 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$175k - $200k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 8+ years in payer/provider/consulting who has strong claims modeling and medical trend experience, advanced SQL and Excel skills, and is preferably an ASA or FSA.

Benefits

Remote FirstHealth InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanGenerous VacationPaid Parental LeavePet Insurance
Shortlist Forming
Closing Soon
87d
87 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Other/IC Level
Cohere Health

Staff Actuary

Cohere Health•United States•2mo ago
RemoteHealth OtherExperience StudiesPredictive Modelling & MLData Engineering

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