Senior Actuarial Support Analyst

10 hours, 37 minutes ago
Full-time
Senior
Data Science and Analytics
Cohere Health

Cohere Health

Cohere Health transforms healthcare utilization management and prior authorization, aligning physicians and health plans for better patient outcomes and reduced costs.

Insurance
251-1K
Founded 2019
$56M raised

Description

  • Design and maintain financial models for tracking and analyzing cost-saving initiatives.
  • Analyze prior authorization and claims trends, decision patterns, and cost drivers.
  • Quantify proposed initiatives and forecast cost-reduction outcomes for business cases.
  • Use statistical and visualization tools to identify trends, anomalies, and savings opportunities in claims data.
  • Prepare executive reports and presentations on savings, project performance, and future opportunities.
  • Advise leadership and internal and external stakeholders on cost-saving strategies.
  • Collaborate with clinical and customer success teams to address authorization challenges.
  • Lead post-implementation assessments and refine initiatives for sustainable improvements.

Requirements

  • At least 5 years of experience in healthcare analytics, cost containment, or a similar healthcare role; payer, provider, or managed care experience preferred.
  • Proficiency with SQL, Tableau, Power BI, and advanced Excel.
  • Strong understanding of healthcare cost drivers and medical claims data.
  • Experience with data cleaning, analysis, and data-driven problem solving.
  • Ability to translate complex data into actionable insights and concise reports.
  • Familiarity with prior authorization and utilization management processes preferred.
  • Experience with prior authorization or utilization management data preferred.
  • Proficiency with R, Python, Scala, AWS S3, Airflow, Athena, or Spark preferred.

Benefits

  • Annual salary of $105,000–$115,000, plus bonus and benefits.
  • Fully remote work with approximately 5% travel, including possible Boston onboarding and team events.
  • Medical, dental, vision, life, disability insurance, and Employee Assistance Program.
  • 401(k) with company match, flexible spending account, and health savings account.
  • Flexible time off and company holidays.
  • Up to 14 weeks of paid parental leave.
  • Pet insurance.

Interested in this position?

Apply directly on the company website

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