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Cohere Health · 13 hours ago

Staff Actuary

United States

Full-time

Hybrid

Lead/Staff

$175K/yr - $200K/yr

8+ years exp

Cohere Health is a company focused on improving healthcare access and collaboration through AI-powered solutions. They are seeking a Staff Actuary to lead cost savings and impact analytics, partnering with various teams to ensure accurate modeling and support scalable growth.

Consumer SoftwareHealth CareSaaSSoftware

Responsibilities

Lead Cost Savings & Impact Modeling: Design and maintain activity- and claims-based models to quantify gross and incremental value, incorporating risk adjustment, utilization patterns, and key cost drivers

Methodology Design & Optimization: Develop and refine actuarial methodologies, experience studies, and assumptions to ensure accurate, consistent, and scalable savings and impact measurement

Project Leadership & Problem Solving: Own complex actuarial and analytics initiatives end to end, translating ambiguous business questions into structured analyses and actionable insights

Data & Technology Partnership: Translate actuarial logic into technical requirements and partner with Data and Engineering teams to support automation, EDW evolution, and reliable reporting

Strategic Growth & Opportunity Analysis: Assess the financial impact of new programs and product expansions using forward-looking models and scenario analyses

Cross-Functional Partnership & Alignment: Collaborate with Clinical Strategy, Clinical Operations, Analytics, Product, Growth, and Customer teams to embed actuarial insights into product design and measurable outcomes

Qualification

Health actuarial experienceCost savings modelingAdvanced SQLLarge healthcare datasetsPythonRExcelPassion for healthcareBachelor's degreeASAFSA certificationProject leadershipCross-functional collaborationProblem solving

Required

8+ years of health actuarial experience with expertise in pricing, medical trend analysis, and cost savings or impact modeling in payer, provider, or consulting settings

Strong experience with large healthcare datasets, including claims data (ICD-10, DRG, CPT/HCPCS), medical, provider, and member data required

Advanced SQL and Excel required; Python or R preferred

Proven ability to own complex analytical initiatives end to end and partner cross-functionally with clinical, product, analytics, and data engineering teams

Passion for improving the U.S. healthcare system and delivering measurable clinical and financial impact

Ability to operate in fast-paced environments, translating loosely defined problems into structured analyses aligned with business and product strategy

Bachelor's degree in a related field required; ASA or FSA strongly preferred