Actuarial Jobs in Boston ma

Opportunity Overview :

Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.

As the Director & Head Actuary, you will lead our actuarial team, focusing on developing and implementing innovative models for utilization management and prior authorization for new and existing clinical programs. Your day-to-day activities will involve collaborating closely with the Sr. Director of Analytics to align actuarial initiatives with our company’s strategic goals. You will serve as the primary actuarial liaison with health economics teams at health insurance plans, presenting actuarial analyses, findings, and recommendations to ensure alignment with forecasting and assessing medical impact, performance guarantees, and / or other client commitments. Building and maintaining strong relationships with key stakeholders will be crucial to understanding their needs, delivering tailored solutions, and identifying areas of risk.

You will oversee the development, validation, and maintenance of actuarial models, ensuring their accuracy, reliability, and relevance in collaboration with internal matrix partners. Your expertise in advanced statistical techniques will be essential in enhancing the performance and decision-making capabilities of our models.

Your role will require you to stay informed about changes in healthcare policies, regulations, and industry trends that affect utilization management and prior authorizations, adapting our models and practices accordingly. Additionally, you will play a key role in mentoring and developing actuarial talent within the team, fostering a culture of continuous learning and improvement, and promoting knowledge sharing and collaboration across the analytics department.

What you will do :

Leadership and Strategy :

• Lead the actuarial team in developing innovative models and strategies for utilization management and prior authorization for new and existing clinical programs.
• Collaborate closely with executive leadership to align actuarial initiatives with the company’s strategic goals.
• Provide expert guidance on actuarial best practices and emerging trends in healthcare technology and AI.

Client Engagement :

Model Development and Analysis :

Team Development :

Your background & requirements :

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 $175,000 to $215,000 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.

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