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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on cost-savings and impact modeling for Cohere Health. You will build claims-based, risk-adjusted ROI models, own methodology and experience studies, and partner with clinical, analytics, product, and data teams in a fully remote role.

JOB DESCRIPTION SUMMARY

  • Lead cost savings and impact models using claims and member data
  • Design actuarial methodologies and conduct experience studies
  • Advanced SQL and Excel required; Python or R preferred
  • Fully remote role with ~5% travel
  • Ideal for a senior health actuary with 8+ years' experience

DOMAIN EXPERTISE

  • Health actuarial pricing and medical trend analysis
  • Cost savings and impact modeling using claims data
  • Claims data expertise including ICD-10, DRG, CPT/HCPCS
  • Experience in payer, provider, or consulting settings

KEY REQUIREMENTS

  • 8+ years of health actuarial experience in pricing or impact modeling
  • Strong experience with claims datasets (ICD-10, DRG, CPT/HCPCS)
  • Advanced SQL and Excel required
  • Bachelor's degree required

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial role focused on cost-savings and impact modeling for Cohere Health. You will build claims-based, risk-adjusted ROI models, own methodology and experience studies, and partner with clinical, analytics, product, and data teams in a fully remote role.

JOB DESCRIPTION SUMMARY

  • Lead cost savings and impact models using claims and member data
  • Design actuarial methodologies and conduct experience studies
  • Advanced SQL and Excel required; Python or R preferred
  • Fully remote role with ~5% travel
  • Ideal for a senior health actuary with 8+ years' experience

DOMAIN EXPERTISE

  • Health actuarial pricing and medical trend analysis
  • Cost savings and impact modeling using claims data
  • Claims data expertise including ICD-10, DRG, CPT/HCPCS
  • Experience in payer, provider, or consulting settings

KEY REQUIREMENTS

  • 8+ years of health actuarial experience in pricing or impact modeling
  • Strong experience with claims datasets (ICD-10, DRG, CPT/HCPCS)
  • Advanced SQL and Excel required
  • Bachelor's degree required

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 (8+ years) experienced in payer/provider/consulting environments, preferably ASA/FSA, who excels in claims-based modeling, SQL, and cross-functional project leadership.

Benefits

Remote FirstHealth InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanHSA/FSA AvailableGenerous VacationPaid Parental LeaveAnnual BonusWellness Program
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

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

Ideal Candidate Profile

Ideal for a senior health actuary (8+ years) experienced in payer/provider/consulting environments, preferably ASA/FSA, who excels in claims-based modeling, SQL, and cross-functional project leadership.

Benefits

Remote FirstHealth InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanHSA/FSA AvailableGenerous VacationPaid Parental LeaveAnnual BonusWellness Program
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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