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Senior Data Scientist

$120k - $145k/yr

Remote in USA

Full-Time

Senior Data Scientist

Confirmed live in the last 24 hours

Cohere Health

Cohere Health

501-1,000 employees

Automates prior authorization in healthcare

Compensation Overview

$120k - $145k/yr

+ Bonus

Senior

Remote in USA

Category
Data Science
Data & Analytics
Required Skills
Python
Data Science
R
Elasticsearch
Scala
Data Analysis
Connection
Connection
Connection
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Requirements
  • 5+ years analytical experience at company where health outcomes were critical to the mission, preferably a healthcare analytics company or population health organization
  • Proficient in current modeling approaches, standard scientific methods for intervention based analysis, trend identification, and data analytics
  • Strong experience using a variety of data mining/data analysis methods, utilizing a variety of analytic tools, building and implementing models, creating algorithms and running simulations
  • Experience with programming languages (Python, R, PySpark, Scala and/or Spark SQL)
  • Strong interest and understanding of EMR data, Claims and SDOH data
  • MSc or higher degree in a data science/ analytics, statistics, mathematics related field
  • Experience with Amazon AWS cloud platform
  • Experience with ElasticSearch
Responsibilities
  • Work as part of a cross-functional team to develop project requirements, identifying data collection sources for project needs. Responsible for milestone setting from a data science perspective
  • Develop research questions and undertake data exploration to understand who our product users are, how they get value out of Cohere, and where we can develop our product to bring greater value and simplify healthcare
  • Perform in-depth analysis of healthcare data coupled with data from product and other sources to independently design, develop, and deliver analytic deliverables that meet quality, cost and service objectives
  • Leveraging data from various sources, e.g., eligibility, medical, pharmacy claims, and data submitted by providers via the prior authorization process, working with Clinical Programs to analyze and simulate expected impact and ROI, e.g., medical expense, administrative cost, improved quality and outcomes
  • Present information using data visualization techniques and propose solutions and strategies to business challenges
  • Design causal analysis methodology and experiments including causal questions, discovery, and causal inference in healthcare data
  • Study noise in the decision making process in healthcare.
Desired Qualifications
  • Experience with data visualization tools such as Tableau and Kibana, preferred
  • Experience with graph database preferred

Cohere Health improves the prior authorization process in healthcare, which requires providers to get approval from health plans before delivering certain services. Their platform, Cohere Unify, automates and streamlines these requests by integrating with electronic medical records and using technologies like optical character recognition and machine learning. This approach allows for faster decision-making and reduces delays in patient care. Cohere Health aims to transform prior authorization into a more efficient system that benefits patients, healthcare providers, and health plans.

Company Size

501-1,000

Company Stage

Late Stage VC

Total Funding

$106M

Headquarters

Boston, Massachusetts

Founded

2019

Simplify Jobs

Simplify's Take

What believers are saying

  • Humana expanded its use of Cohere's platform for diagnostic imaging and sleep services.
  • Cohere Health raised $50 million to meet demand for AI-driven prior authorization.
  • Cohere's platform processes 5.5 million authorizations annually, benefiting 15 million members.

What critics are saying

  • Increased competition from AI-driven startups like Abridge threatens market share.
  • Flat deal activity in healthcare IT indicates a challenging investment environment.
  • S32's new General Partner may boost funding for competing healthcare startups.

What makes Cohere Health unique

  • Cohere Health automates prior authorization, reducing delays and administrative burdens.
  • The Cohere Unify platform integrates with EMR and uses OCR for fax submissions.
  • Machine learning and AI enhance decision-making based on health plan policies.

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Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

1%

2 year growth

2%
Cohere Health
Jan 7th, 2025
Built In Honors Cohere in Its Esteemed 2025 Best Places To Work Awards

Built In honors Cohere in its esteemed 2025 Best Places to Work awards.

TechCrunch
Jun 25th, 2024
10 Of The Most Exciting Digital Health Startups Of 2024, According To Vcs

In the post-COVID world, VCs say it’s not as easy to get excited about investing in digital health. Deal activity in healthcare IT was relatively flat in Q1 2024 at 74 total deals, valued at about $1 billion total, up only 3% from the year-ago quarter, according to PitchBook data. Still, promising startups have grabbed investors’ attention this year. TechCrunch spoke with about a dozen healthcare VCs about the companies they think have the most promising future. While recently formed AI-driven startups that are solving staggering administrative challenges in the U.S. healthcare system dominated their recommendations, they also mentioned several slightly older, non-AI-focused businesses.We narrowed their suggestions to the list of names that more than one VC mentioned, which came in at an even 10 companies. VCs discussed with us the companies that were both in their portfolios and not.AbridgeWhat it does: Uses AI to automate medical records based on conversations between doctors and patients.Founded in 2018 by Shiv Rao, a practicing cardiologist, Abridge is an early entrant into the medical note-taking space and one that has secured integration with the all-powerful Epic Systems health records software. Why it’s promising: The Pittsburgh-based startup generates excitement among investors and hospital systems eager to free up physicians’ time spent on note-taking

Hit Consultant
Apr 23rd, 2024
Humana Expands Use Of Cohere Health’S Prior Authorization Platform

Humana Expands Use of Cohere Health’s Prior Authorization Platform. by Syed Hamza Sohail 04/23/2024 Leave a Comment. What You Should Know:–              Cohere Health, a recognized leader in clinical intelligence and prior authorization automation, announced that Humana Inc. (NYSE: HUM) will expand its use of Cohere’s prior authorization platform for diagnostic imaging and sleep services. –              In January 2021, Cohere and Humana began a pilot program in 12 states to improve the prior authorization process for musculoskeletal (MSK) services.Transformative Prior Authorization Solutions: Cohere’s Nationwide Impact on Healthcare Access and Provider SatisfactionThe program effectively decreased turnaround times for prior authorization approvals, boosted provider satisfaction, and improved care delivery for MSK services. This success led to expansion across all 50 states in 2022. In January 2023, Cohere’s solutions were rolled out nationwide, encompassing cardiovascular and surgical services.Cohere’s prior authorization platform expedites the approval process for providers and patients. Its unique combination of real-time analytics and evidence-based clinical intelligence reduces denial rates and facilitates quicker patient access to care.Annually, Cohere handles 5.5 million prior authorizations, benefiting over 15 million health plan members and 420,000 healthcare providers nationwide.“We’re pleased Humana will be utilizing our diagnostic imaging and sleep solutions, further strengthening our strategic and ongoing partnership,” said Siva Namasivayam, Chief Executive Officer of Cohere Health

PR Newswire
Feb 22nd, 2024
S32 Names Dr. Andy Conrad As General Partner

PALO ALTO, Calif., Feb. 22, 2024 /PRNewswire/ -- S32, a leading venture capital firm founded by Bill Maris after building Google Ventures, today proudly announced the appointment of Dr. Andy Conrad, a leader in the application of technology and advanced data science, as General Partner. Dr. Conrad previously held numerous senior roles at Google, having most recently founded and served as the CEO and Executive Chairman of Verily Life Sciences (previously "Google Life Sciences"). He has held positions at GV ("Google Ventures") and X ("GoogleX"), and, during his tenure, worked with DeepMind, Google Cloud, Google AI and other technical and business teams across the Alphabet ecosystem

Bizjournals
Feb 1st, 2024
AI-powered insurance authorizer raised $50M in equity

The Boston startup has raised $106M to date.