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Senior Healthcare Analyst, Actuarial

Cohere Health is a rapidly expanding clinical intelligence company looking for a Senior Healthcare Analyst to enhance patient-specific care options through detailed analysis and strategic recommendations.

Skills

  • Healthcare analytics
  • Financial modeling
  • Statistical analysis
  • Data visualization tools
  • Problem-solving

Responsibilities

  • Conduct advanced data analysis to assess prior authorization and claims trends
  • Design and maintain complex financial models for cost-saving initiatives
  • Prepare detailed executive-level reports on cost-saving achievements
  • Act as a trusted advisor to stakeholders
  • Identify innovative approaches to optimize cost savings

Education

  • Bachelor's degree in a relevant field

Benefits

  • Health insurance
  • 401k
  • Bonus
To read the complete job description, please click on the ‘Apply’ button
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Average salary estimate

$107500 / YEARLY (est.)
min
max
$100000K
$115000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Senior Healthcare Analyst, Actuarial, Cohere Health

At Cohere Health, we're on a mission to improve lives through innovative clinical intelligence, and we’re looking for a detail-oriented Senior Healthcare Analyst to join our Actuarial team. This pivotal role focuses on analyzing cost-saving initiatives that enhance the efficiency of the prior authorization process. If you have a background in healthcare analytics, financial modeling, and are eager to make a tangible impact, we'd love to meet you! As a Senior Healthcare Analyst, you will delve deep into data, identifying trends in prior authorization and claims that drive healthcare costs. You’ll create complex financial models to forecast the outcomes of cost-saving strategies, ensuring that our efforts align with clinical and regulatory standards. Your insights will be crucial for our leadership and other teams as we collaborate to minimize waste and optimize resource usage. Thrive in a dynamic work environment where your strategic recommendations can spotlight areas for improvement. With the company rapidly growing, you’ll find yourself in a unique position to contribute to the organization's evolution while supporting the critical objective of providing patient-specific care options. At Cohere Health, your analytical skills will not just be used; they will shine as you prepare comprehensive reports that showcase our cost-saving achievements and future potentials. Join us and help shape a brighter and more efficient healthcare system. We can't wait to see the mark you will leave!

Frequently Asked Questions (FAQs) for Senior Healthcare Analyst, Actuarial Role at Cohere Health
What responsibilities does the Senior Healthcare Analyst at Cohere Health have?

The Senior Healthcare Analyst at Cohere Health plays a crucial role in cost savings analysis, focusing on advanced data analysis of prior authorization and claims trends. Responsibilities include designing financial models to track and analyze initiatives, preparing reports for senior leadership, and collaborating with clinical teams to identify areas for improvement.

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What qualifications are needed for the Senior Healthcare Analyst position at Cohere Health?

The ideal candidate for the Senior Healthcare Analyst position at Cohere Health should have 5-8 years of experience in healthcare analytics or a similar role. Familiarity with prior authorization processes, strong statistical analysis capabilities, and proficiency in data tools like SQL and Tableau are highly desirable.

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How does a Senior Healthcare Analyst contribute to cost-saving initiatives at Cohere Health?

A Senior Healthcare Analyst at Cohere Health actively identifies, analyzes, and quantifies cost-saving opportunities. By leading the development of financial models and conducting in-depth data analysis, they provide strategic insights that help minimize waste and enhance the prior authorization process.

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What is the work environment like for the Senior Healthcare Analyst at Cohere Health?

The work environment for a Senior Healthcare Analyst at Cohere Health is fast-paced and project-based. The ideal candidate should be adaptable, innovative, and able to thrive under pressure while contributing meaningfully to a growing organization.

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What tools should a Senior Healthcare Analyst be proficient in when working at Cohere Health?

A Senior Healthcare Analyst at Cohere Health should be proficient in data analytics and visualization tools, such as SQL, Tableau, and Excel. Familiarity with programming languages like R and Python, as well as cloud services such as AWS, is also beneficial for success in this role.

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Common Interview Questions for Senior Healthcare Analyst, Actuarial
Can you describe your experience with healthcare analytics in the context of prior authorization?

When answering this question, highlight specific projects where you analyzed prior authorization data, detailing the tools you used and the insights gained. Discuss how those insights contributed to efficiency or cost savings in previous roles.

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What methods do you use to analyze claims trends effectively?

Explain your approach to analyzing claims trends, mentioning tools like SQL or Tableau for data extraction and visualization. Share examples of how your analysis led to actionable insights that improved processes or saved costs.

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How do you prioritize multiple cost-saving initiatives?

Demonstrate your prioritization skills by explaining how you assess the potential impact and feasibility of each initiative. Discuss any frameworks you use to make data-driven decisions in a fast-paced environment.

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Can you give an example of how your analytical insights improved a prior authorization process?

Provide a specific example where your analysis led to operational improvements. Focus on the steps you took, the data analyzed, and how the resulting changes benefitted the organization.

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What tools do you find most effective for data visualization and why?

Share your experiences with data visualization tools like Tableau or Power BI, emphasizing how they enhance your ability to present complex data in an understandable format. Mention any specific projects that benefited from powerful visualizations.

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Describe your experience collaborating with cross-functional teams.

Highlight your communication skills and provide an example of a successful collaboration with cross-functional teams. Discuss how you ensured that your analytical insights aligned with clinical strategies.

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How do you stay current with changes in healthcare regulations that might affect cost analysis?

Explain your strategies for staying informed, such as subscribing to relevant publications, attending industry conferences, or participating in professional networks to keep abreast of healthcare regulations and their implications.

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What strategies do you use to present findings to stakeholders effectively?

Talk about the importance of tailoring your messaging to your audience. Discuss your use of clear visuals, executive summaries, and actionable recommendations to ensure stakeholders understand the significance of your findings.

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What challenges have you faced in healthcare analytics, and how did you overcome them?

Identify a significant challenge you encountered, such as data discrepancies or team alignment issues. Discuss the steps you took to address the challenge and the positive outcomes that resulted.

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Why are you passionate about improving the U.S. healthcare system?

Share your motivations for pursuing a career in healthcare analytics and how they drive your work. Discuss the positive impact you hope to have on the system and patient outcomes, tying it back to your skills and experiences.

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Cohere Health will simplify healthcare by enabling patients, physicians, and health plans to collaborate on getting the right care -- at the right time, at the right place, and with the right value. Our focus is to enable an efficient, transparent...

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BENEFITS & PERKS
Disability Insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Vision Insurance
Performance Bonus
Paid Holidays
FUNDING
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
SALARY RANGE
$100,000/yr - $115,000/yr
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
December 7, 2024

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