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.
Lead the MA Plan Command Center, setting direction and operating standards for governance, initiative portfolio management, and executive reporting.
Own enterprise performance monitoring frameworks, dashboards, and KPIs to identify risks and guide leadership decisions.
Integrate financial, actuarial, and operational insights into clear recommendations for executive leadership, leveraging AI-enabled analysis.
We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. Our team is composed of passionate, mission-driven individuals with diverse expertise, working together to solve healthcare challenges.
Collaborate with a small team of modelers to design, develop, and implement underwriting risk models for Global Risk Solutions.
Build and maintain statistical models, validate parameterization, and communicate results to stakeholders across underwriting and actuarial functions.
Use large data sets and advanced analytical methods to drive insights into line-of-business dynamics and improve risk analytics tools.
Global Risk Solutions is a leading provider of commercial, specialty insurance, and reinsurance products worldwide. The team is a small, collaborative group focused on risk modeling, with an inclusive culture that values diverse perspectives, professional development, and employee well-being.
Own the rate indication process for home and auto, including quarterly updates and communication.
Execute the annual rate plan across every state and line, working closely with Product.
Lead and develop a team of actuarial professionals, managing performance and career growth.
Branch is on a mission to make insurance more accessible by using data, tech, and automation to simplify insurance. They are a remote-first company with a preference for candidates in Ohio, and offer a culture of autonomy and speed.