Job Application for Staff Actuary at Cohere Health

New

Opportunity Overview:

We are seeking a Staff Actuary to lead cost savings and impact analytics that quantify the financial and clinical value of Cohere’s programs. This role partners closely with Actuarial, Clinical, Analytics, and Data teams to ensure models accurately reflect product design, outcomes, and ROI, while supporting scalable, data-driven growth.

This is a high-impact individual contributor role with the opportunity to shape Cohere’s actuarial capabilities and directly influence how value is delivered across the healthcare system.

What you’ll do:

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.

What you’ll need:

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.

Pay & Perks:

💻 Fully remote opportunity with about 5% travel

🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program

📈 401K retirement plan with company match; flexible spending and health savings account

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave

🐶 Pet insurance 

The salary range for this position is $175,000 to $200,000 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.

Interview Process*:

Connect with Talent Acquisition for a Preliminary Phone Screening
Meet your Hiring Manager!
Cross Functional Interview
Peer Interview
Leadership Interview

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

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.

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, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. 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.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement:

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.

#LI-Remote

#BI-Remote

Create a Job Alert

Interested in building your career at Cohere Health? Get future opportunities sent straight to your email.

First Name

Last Name

Preferred First Name

Country

Phone

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Our base salary range for this role is $175,000 – $200,000 annually. Do you acknowledge and agree that this range aligns with your compensation expectations?

Select...

LinkedIn Profile

Website

Do you have 8+ years of professional experience in a healthcare actuarial role?

Select...

Have you directly performed medical trend analysis and health actuarial financial modeling in a professional setting?

Select...

Have you directly worked with medical claims data, including ICD-10, CPT/HCPCS, or DRG codes?

Select...

Do you regularly use SQL to query and analyze large datasets in a production or analytics environment?

Select...

Are you at least 18 years of age?

Select...

How did you hear about us?

Select...

Have you been previously employed at Cohere Health?

Select...

Do any of your immediate family members work at Cohere Health?

Select...

If you answered "yes" to the above, what is the name of the employee? If you answered "no" please type "N/A"

What is your legal mailing address?

In which of the following locations do you live?

Select...

Are you eligible and legally able to work in the United States?

Select...

Do you now, or will you in the future require immigration sponsorship for work authorization?

Select...

Are you currently, or have you ever been, excluded from, debarred or otherwise ineligible to participate in state or federally funded programs (“Government Programs”) or federal healthcare programs as defined in 42 USC § 1320a-7b(f) (“Federal Programs”)?

Select...

I understand that if I receive an offer of employment from Cohere Health that a background check will be performed on my behalf.

Select...

I HAVE READ THE CERTIFICATION ABOVE AND UNDERSTAND AND AGREE TO ITS TERMS. Please type your name and the date.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Cohere Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Gender

Select...

Are you Hispanic/Latino?

Select...

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Veteran Status

Select...

Voluntary Self-Identification of Disability

Form CC-305

Page 1 of 1

OMB Control Number 1250-0005

Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

Alcohol or other substance use disorder (not currently using drugs illegally)
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
Blind or low vision
Cancer (past or present)
Cardiovascular or heart disease
Celiac disease
Cerebral palsy
Deaf or serious difficulty hearing
Diabetes
Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
Epilepsy or other seizure disorder
Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
Intellectual or developmental disability
Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
Missing limbs or partially missing limbs
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
Partial or complete paralysis (any cause)
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
Short stature (dwarfism)
Traumatic brain injury

Disability Status

Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Staff Actuary

Apply for this job

Voluntary Self-Identification

Voluntary Self-Identification of Disability