Senior Manager, Actuarial

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.

What you’ll do:

• Leadership & Team Management: Lead and manage a team of actuaries and analysts responsible for producing high-quality cost-saving analyses, impact reporting, and communicating Cohere’s value story to customers.
• 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.
• 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.
• Methodology Optimization: Continuously refine impact and savings measurement methodologies to enhance precision, automate reporting, and enable scalable implementation across multiple programs.

What you’ll need:

• 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.
• People Leadership Experience: Proven leadership skills, with experience directly managing, mentoring, and guiding direct reports. Ability to lead projects and collaborate cross-functionally with analytics, clinical, and data engineering teams to drive impactful outcomes.
• 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.
• Excellent Communication Skills: Proven ability to translate complex actuarial analysis into actionable insights for non-technical audiences, with strong presentation and report-writing skills.
• Educational Background: Bachelor’s Degree in Math, Statistics, Biostatistics, Actuarial Science, or Economics required.

Pay & Perks:

💻 Fully remote opportunity with about 5% travel

🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 

📈 401K retirement plan with company match; flexible spending and health savings account 

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $150,000 to $195,000 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.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview with the team 
4. Leadership interview 

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, 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.

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.

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