Opportunity Overview: 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. 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. 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. What you’ll do: Design and maintain complex financial models to track and analyze cost-saving initiatives, providing regular updates and insights to senior leadership and stakeholders. Perform advanced data analysis to assess prior authorization & claims trends, decision patterns, and cost drivers. 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. Use statistical and data visualization tools to identify trends, patterns, and anomalies in claims data that may indicate areas for improvement on savings. Prepare detailed and executive-level reports and presentations that summarize cost-saving achievements, project performance, and future cost-saving potential. Act as a trusted advisor to leadership and key internal & external stakeholders, providing strategic insights, recommendations, and guidance on cost-saving strategies. Work closely with clinic
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Role overview
Job description
Opportunity Overview: We are seeking a Senior Actuarial Analyst to join our Actuarial team. In this role, you will own the models and core reporting that quantify customer outcomes, impact, and cost savings for Cohere’s prior authorization programs, and present what is driving those results to internal leadership and external customers. You’ll partner closely with clinical, customer success, and data teams to keep the numbers accurate and consistent, making this an opportunity to shape how Cohere measures and communicates the value it delivers. 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. What you’ll do: Own and maintain client-facing reporting that measures cost savings, outcomes, and performance of prior authorization programs across specialty areas (MSK, cardiology, diagnostic imag
…What they are looking for
Skills & requirements
Qualification
What you’ll need: 5+ years of experience in actuarial or healthcare analytics (payer, provider, managed care, or consulting), with a Bachelor’s degree in Actuarial Science, Math, Statistics, Biostatistics, or Economics and at least 2 completed SOA exams; Advanced degree in a quantitative field, or an ASA credential
Department · Actuary
Hiring company
Cohere Health
AI-powered prior authorization and payment integrity solutions that streamline utilization management, reduce costs, and improve care access for health plans.
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