Staff Actuary
RemoteNot SpecifiedExperience StudiesPredictive Modelling & MLProduct Development & Plan Design
Role Summary
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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