Company Overview:

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using leading edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health insurance plans covering over 15 million people, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 Built In Best Place to Work, Top 5 LinkedIn™ Startup, TripleTree iAward, multiple KLAS Research Points of Light, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

Opportunity Overview:

Cohere is seeking a strategic and dynamic Senior Manager, Actuarial to lead our Customer-Facing Actuarial Team. This individual will be responsible for driving customer-facing actuarial support and ensuring the delivery of accurate, actionable insights that clearly demonstrate the financial value and ROI of Cohere’s clinical programs. The ideal candidate will combine strong technical acumen with exceptional communication skills to support strategic customer growth, retention, and satisfaction.

We are specifically looking for candidates with significant actuarial experience at a health plan and/or consulting firm, and who are confident communicators capable of translating technical results into strategic customer insights. This role acts as the front door of Cohere’s actuarial team to our customers, working closely with our internal actuarial modeling and medical economics teams to ensure alignment across all aspects of cost savings and impact evaluation.

Last but not least: People 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.

What you will do:

Leadership & Team Management
Lead a team of actuaries and analysts responsible for producing high-quality cost-saving analyses, impact reporting, and communicating Cohere’s value story to customers.
Customer Engagement
Serve as the primary actuarial liaison for key clients—delivering weekly, monthly, and quarterly business reviews, as well as ad-hoc analysis to support customer strategy and requests.
Value Storytelling
Translate complex actuarial methodologies into clear, compelling narratives tailored to both technical and non-technical customer stakeholders.
Cross-Functional Collaboration
Partner with Clinical Strategy, Clinical Operations, Operational Analytics, and Growth teams to ensure model outputs align with product design, implementation, and outcomes.
Data & Infrastructure Partnership
Work closely with Data and Engineering teams to ensure the Enterprise Data Warehouse (EDW) is structured to support scalable and evolving actuarial modeling needs.
Requirements & Methodology Development
Define and communicate technical specifications to Data Engineering to support scalable, accurate models across customers and product lines.
Methodology Optimization
Continuously refine impact and savings measurement methodologies to enhance precision, automate reporting, and enable scalable implementation across multiple programs.
Team Mentorship
Support junior team members’ professional development and foster a culture of innovation, analytical excellence, and customer-centricity.
Document Methodologies and Ensure Scalability
Maintain clear and comprehensive documentation of modeling methodologies, assumptions, coding logic, and analytical processes. Ensure models are scalable and ready to support a wide array of programs, care pathways, and lines of business, including Medicare Advantage, Commercial, and Medicaid.
Act as a Strategic Customer-Facing Partner
This is a critical role for the organization. You will drive many of the conversations with our customers’ actuarial and medical economics teams to align on Cohere’s impact—financial and beyond. Your work will help articulate and demonstrate both quantitative savings and qualitative improvements, such as reduced utilization of low-value care, better patient experiences, and improved clinical outcomes.

Your background & requirements:

Professional Credentialing: Associate of the Society of Actuaries (ASA) designation required; Fellow of Society of Actuaries (FSA) is a plus.
Extensive Actuarial Experience: 8+ years in a health actuarial role within payer, provider, or consulting settings, with demonstrated expertise in pricing, medical trend analysis, financial modeling, and evaluating trend management or health intervention programs.
Educational Background: Bachelor’s Degree in Math, Statistics, Biostatistics, Actuarial Science, or Economics required.
Technical Proficiency: SQL and advanced Excel experience is required; proficiency in Python or R is a plus.
Advanced Data Analysis Skills: Deep experience in observational data analysis with large datasets, including claims data (ICD-10, DRG, CPT/HCPCS, revenue codes), and a high level of proficiency working with medical, provider, member, pharmacy, and eligibility data.
Passion for Healthcare Transformation: Committed to improving the U.S. healthcare system, with a focus on ensuring patients receive high-quality, cost-effective care.
Leadership Experience: Proven leadership skills, with experience managing, mentoring, or guiding team members. Ability to lead projects and collaborate cross-functionally with analytics, clinical, and data engineering teams to drive impactful outcomes.
Big-Picture Thinker with Strategic Insight: Ability to see beyond immediate tasks and understand the broader impact of actuarial models on business goals and customer outcomes. Capable of developing models that align with long-term strategic objectives and market trends.
Independent and Self-Driven: A self-starter who excels in a fast-paced, high-intensity start-up environment, with the ability to work autonomously and manage multiple projects effectively.
Excellent Communication Skills: Proven ability to translate complex actuarial analysis into actionable insights for non-technical audiences, with strong presentation and report-writing skills.

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.

The salary range for this position is $160,000.00 to $180,000.00 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.

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