Full-Time

Senior Insights Analyst

Posted on 11/21/2024

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
SAS
Data Science
R
SQL
Tableau
Data Analysis

You match the following Cohere Health's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
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
  • 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
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.
Desired Qualifications
  • Master’s degree preferred
  • Experience with clinical and utilization management programs for speciality care (e.g., musculoskeletal, cardiology, imaging, oncology, pharmacy) 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 technology like optical character recognition and machine learning. This approach allows for faster decision-making and reduces delays in patient care. The goal is to create a more efficient system that benefits patients, healthcare providers, and health plans by saving time and costs.

Company Size

501-1,000

Company Stage

Late Stage VC

Total Funding

$103.1M

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

2%

1 year growth

1%

2 year growth

4%
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.

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