Senior Actuarial Support Analyst at Cohere Health
United States
$105k - $115k
<p><strong>Opportunity Overview: </strong></p> <p>We are looking for a detail-oriented Senior Actuarial Support Analyst to join our Actuarial team. In this role, you will be responsible for evaluating cost-saving initiatives that enhance the efficiency and effectiveness of the prior authorization process. The ideal candidate will have extensive experience in healthcare analytics, financial modeling, and prior authorization, along with a strong strategic mindset and data-driven problem-solving skills. The work will be fast-paced and project-based, with evolving needs - requiring curiosity, flexibility, and grace under pressure.</p> <p>At a growing organization, this is a position that offers the ability to make a substantive mark on the company and its partners with exponential growth opportunities. You will be part of the Actuarial team and develop & maintain cost savings models.</p> <p>This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.</p> <p><strong>What you’ll do:</strong></p> <p><strong>Design and maintain complex financial models to track and analyze cost-saving initiatives, providing regular updates and insights to senior leadership and stakeholders.</strong><strong>Perform advanced data analysis to assess prior authorization & claims trends, decision patterns, and cost drivers.</strong><strong>Lead the design and development of financial models to quantify the impact of proposed cost-saving initiatives and forecast cost reduction outcomes for business cases.</strong><strong>Use statistical and data visualization tools to identify trends, patterns, and anomalies in claims data that may indicate areas for improvement on savings.</strong><strong>Prepare detailed and executive-level reports and presentations that summarize cost-saving achievements, project performance, and future cost-saving potential.</strong><strong>Act as a trusted advisor to leadership and key internal & external stakeholders, providing strategic insights, recommendations, and guidance on cost-saving strategies.</strong><strong>Work closely with clinical and customer success teams to understand authorization challenges, provide analytical insights, and offer actionable recommendations to resolve issues.</strong><strong>Lead post-implementation assessments to measure the impact of cost-saving initiatives, ensuring continuous refinement and long-term sustainability of improvements.</strong></p> <p><strong>What you’ll need:</strong></p> <ul> <li>5 years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry, preferably within a payer, provider, or managed care setting,</li> <li>Proficiency in data analytics and visualization tools, for example SQL, Tableau, Power BI, advanced Excel,</li> <li>Strong understanding of healthcare cost drivers and medical claims data, </li> <li>Demonstrated experience in data cleaning, data analysis and problem-solving skills,</li> <li>Ability to transform complex data into actionable insights and clear, concise reports.</li> </ul> <p>Bonus:</p> <ul> <li>Familiarity with prior authorization, utilization management processes</li> <li>Proficient in R, SQL, Python, Scala, AWS (S3, Airflow, Athena, Spark)</li> <li>Experience with prior authorization & utilization management data.</li> </ul> <p><strong>Pay & Perks:</strong></p> <p>💻 Fully remote opportunity with about 5% travel</p> <p>🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program </p> <p>📈 401K retirement plan with company match; flexible spending and health savings account </p> <p>🏝️ Flex Time Off + company holidays</p> <p>👶 Up to 14 weeks of paid parental leave </p> <p>🐶 Pet insurance </p> <p>The salary range for this position is $105,000 to $115,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. </p> <p><strong>Interview Process*:</strong></p> <ol> <li>Connect with Talent Acquisition for a Preliminary Phone Screening</li> <li>Meet your Hiring Manager!</li> <li>Team Interview</li> <li>Cross-Functional</li> <li>Executive Interview </li> </ol> <p>*Subject to change</p> <p><strong>About Cohere Health:</strong></p> <p>Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. </p> <p>With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.</p> <p>Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. </p> <p>The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody <a href="https://coherehealth.com/our-story">our core values and principles</a>. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.</p> <p><strong>We can’t wait to learn more about you and meet you at Cohere Health!</strong></p> <p><strong>Equal Opportunity Statement: </strong></p> <p>Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.</p> <p>#LI-Remote</p> <p>#BI-Remote</p>
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