Remote Insurance Jobs · SQL

• 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.

• Apply actuarial knowledge to life insurance valuation, supporting LDTI and PBR standards.
• Prepare and analyze monthly and quarterly valuation deliverables, developing tools for validation.
• Collaborate with cross-functional partners in Tax, Controllership, Pricing, and other areas to support business objectives.

Nationwide is a Fortune 100 insurance and financial services company with nearly $70 billion in annual sales. They have a caring culture and have been recognized as one of the Fortune 100 Best Companies To Work For.

• 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.