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Healthtech • Software
Own actuarial models and client-facing reporting measuring cost savings, outcomes, and performance of healthcare prior authorization programs. Analyze authorization and claims data, conduct impact evaluations, reconcile projected and realized results, investigate trends, and present executive-level insights to customers and leadership. Partner with clinical, customer success, data, and actuarial teams while maintaining reproducible, auditable methodology and documentation.
Healthtech • Software
Develop and maintain financial and cost-savings models for prior authorization initiatives. Analyze healthcare claims, authorization trends, decision patterns, and cost drivers; quantify projected savings; and deliver executive reports and recommendations. Partner with clinical and customer success teams to address authorization challenges, conduct post-implementation assessments, and refine savings strategies. This remote-first role requires approximately 5% travel for onboarding and occasional meetings.
Healthtech • Software
Deliver and improve live and digital training for client RN and MD reviewer teams using Cohere’s healthcare platform. Coordinate onboarding, develop LMS content and tailored training materials, document client workflows and customizations, host webinars and demos, and incorporate feedback to improve adoption. The role collaborates cross-functionally to maintain accurate training aligned with queue management processes and client operating models.
