Full-Time

Senior Insights Analyst

Updated on 1/15/2025

Cohere Health

Cohere Health

501-1,000 employees

Automates prior authorization in healthcare

AI & Machine Learning
Healthcare

Compensation Overview

$105k - $115kAnnually

+ Bonus

Mid, Senior

Remote in USA

Category
Data Analysis
Data & Analytics
Required Skills
Python
Data Science
R
SQL
Tableau
Data Analysis
Requirements
  • Bachelor’s degree in a healthcare or quantitative discipline such as Epidemiology, Economics, Statistics, Data Science, Health Informatics, Public Health or related field required, Master’s degree preferred
  • 3-5 years experience working in an analyst role
  • Experience interfacing with internal and external business stakeholders on the development and read out of client and program specific KPIs
  • Ability to use statistical analysis tools (such as SQL, R, Python or SAS) to extract insights from complex healthcare data sets, interpret trends, and derive actionable recommendations - experience with Athena preferred
  • Strong verbal and written communication skills required
  • Experience owning complex projects, coordinating with multidisciplinary teams, setting goals, and meeting deadlines for multiple ongoing projects
  • Ability to identify issues within healthcare data, devise solutions, and think critically to develop scalable solutions to problems
  • Experience developing dashboards and self service business intelligence tools such as Tableau or PowerBI
  • Understanding of healthcare systems, medical terminologies, clinical workflows, and experience with large data sets including medical claims, pharmacy, and eligibility data
  • Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible
  • Experience with clinical and utilization management programs for speciality care (e.g., musculoskeletal, cardiology, imaging, oncology, pharmacy) preferred.
Responsibilities
  • Cultivate a deep understanding of Cohere’s clinical content, UM products and clinical programs and use analytics to produce insights to drive program effectiveness and value for internal business partners and clients
  • Work with multiple types of healthcare data to build and maintain analytical and reporting solutions to support strategy and program decision making
  • Identify optimization opportunities based on analyses to enhance value for clients
  • Track cost, utilization and industry trends to inform stakeholders of product performance and provide insights around opportunities to optimize clinical value for patients, providers and payers.

Cohere Health focuses on improving the prior authorization process in healthcare, which requires healthcare providers to get approval from health plans before delivering certain services. This process can often slow down patient care and create extra work for providers. Cohere Health offers a platform called Cohere Unify that automates and streamlines prior authorization requests. This platform integrates with electronic medical records and uses technology like optical character recognition to manage fax submissions. It also employs machine learning and artificial intelligence to speed up decision-making based on health plan rules. Unlike many competitors, Cohere Health operates on a Platform-as-a-Service model, allowing health plans to license their platform for internal use. The goal of Cohere Health is to enhance patient outcomes by reducing delays in care and lowering costs for healthcare providers and health plans.

Company Stage

Late Stage VC

Total Funding

$103.1M

Headquarters

Boston, Massachusetts

Founded

2019

Growth & Insights
Headcount

6 month growth

1%

1 year growth

0%

2 year growth

3%
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.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options