Own and maintain client-facing reporting that measures cost savings, outcomes, and performance of prior authorization programs across specialty areas.
Build, maintain, and QC actuarial models and methodology behind that reporting, keeping them ready to scale to new clients and lines of business.
Analyze and interpret authorization and claims data to identify trends, key drivers, and opportunities to improve customer value, quantifying the dollar and utilization effect of each.
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. Backed by leading investors and named to the Inc. 5000 list, the company fosters a supportive, growth-oriented culture with diverse and inclusive teams.
Own and defend the actuarial evidence behind Nearmap's AI-driven property attributes used in insurance rate filings.
Build reusable validation templates and exhibits, respond to regulator objections, and manage SERFF filings.
Partner with carrier actuarial teams and pre-sales to support data tests and implementation of rating variables.
Nearmap provides aerial imagery, AI-driven analytics, and geospatial tools that help businesses understand the built environment. The company values speed, craft, and an inclusive culture where employees can be themselves.
Review and analyze insurance and home warranty claims, including eligibility and coverage.
Communicate claim decisions to customers and internal teams, handling escalations.
Work fully remotely from India on U.S. Eastern Time while meeting productivity targets.
This partner company manages and analyzes insurance and home warranty claims for clients. They offer a fully remote, inclusive, and collaborative work environment with wellness programs and global opportunities.
Perform roll forward analysis and assumption changes/impact for designated products.
Handle regular production needs including Quarter Close, Stat Overlay, and ad-hoc requests including hedging and ALM.
Maintain and run production for the valuation model (AXIS) and support automation.
WNS, part of Capgemini, is an AI-powered leader in intelligent operations, serving 700+ clients across 10 industries. With 66,000+ employees in 13 countries, it combines scale and expertise to deliver sustainable outcomes.
Analyze complex U.S. healthcare datasets to uncover trends, data-quality issues, and actionable insights.
Write and optimize SQL queries for data extraction, validation, reconciliation, and impact analysis.
Collaborate with Product, Engineering, and Account teams to improve data-driven healthcare products.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective review processes. It focuses on fair, data-driven recruitment and values a collaborative, continuous-improvement culture.
Perform actuarial research, experience studies, and statistical analyses for financial forecasting and reserve valuation.
Calculate premiums and reserves, validate data for rate filings, and support actuarial models.
Support valuation by executing ALR models, investigating trends, and communicating filing status to stakeholders.
Blue Cross and Blue Shield of North Carolina is a fully taxed, not-for-profit health insurer headquartered in Durham, NC. We serve over 4.3 million members and employ more than 5,000 people passionate about making health care better for all.