Senior Actuarial Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Take responsibility for managing client-facing reports that evaluate cost savings, outcomes, and performance of prior authorization programs across various specialty areas.

• Develop, sustain, and ensure quality control of actuarial models and methodologies that underpin reporting, ensuring they are scalable for new clients and business lines.

• Examine and interpret authorization and claims data to uncover trends, key factors, and opportunities to enhance customer value.

• Design and execute impact evaluations and post-implementation assessments utilizing cohorts, baselines, benchmarks, pre/post analysis, difference-in-differences, and quasi-experimental techniques.

• Perform sensitivity analyses to isolate the impact of Cohere and verify savings.

• Reconcile authorization-related impact with actual claims and analyze month-over-month and quarter-over-quarter variations.

• Prepare and deliver executive-level insights and results to both external clients and internal leadership.

• Collaborate with customer success, clinical, and actuarial teams to align on metrics, assumptions, and narratives.

• Maintain comprehensive documentation of methodologies, mappings, and code to ensure work is reproducible, auditable, and easily transferable.

• Continuously enhance reporting and storytelling for improved clarity and relevance to clients.

⛳️ Requirements

• A minimum of 5 years of experience in actuarial or healthcare analytics (payer, provider, managed care, or consulting).

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Biostatistics, or Economics.

• Completion of at least 2 Society of Actuaries (SOA) exams.

• Associate of the Society of Actuaries (ASA) designation preferred.

• Proven expertise in developing, maintaining, and delivering client-facing reports and models that assess impact, savings, and performance.

• Proficient in SQL, Excel, and a data visualization tool such as Tableau.

• Skilled in a statistical or analytics programming language such as Python, R, or SAS.

• Strong understanding of healthcare cost drivers and medical claims or authorization data.

• Capable of converting complex analyses into clear, concise insights.

• Competent in presenting results to external clients and internal leadership, addressing questions, and articulating assumptions, drivers, and implications.

• Bonus: Experience with prior authorization or utilization management.

• Bonus: Familiarity with Python or R and cloud platforms such as AWS S3, Athena, Spark, or Airflow.

• Bonus: Advanced degree in a quantitative discipline or ASA credential.

• Bonus: Proven success in presenting savings and impact results directly to external clients.

🏝️ Benefits

• Fully remote position with approximately 5% travel required.

• Comprehensive medical, dental, vision, life, and disability insurance, along with an Employee Assistance Program.

• 401K retirement plan featuring company matching.

• Flexible spending account and health savings account options.

• Flex Time Off plus company holidays.

• Up to 14 weeks of paid parental leave.

• Pet insurance available.

• Bonus included as part of the overall benefits package.