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Full-Time

Manager – Clinical Configuration Management

Posted on 7/9/2024

Cohere Health

Cohere Health

501-1,000 employees

Automates prior authorization in healthcare

Hardware
AI & Machine Learning
Healthcare

Compensation Overview

$100k - $120kAnnually

+ Bonus

Senior

Remote in USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Management
Data Analysis
Requirements
  • Bachelor’s degree in health informatics, health information technology, or related field
  • 3-5+ years of experience managing teams responsible for configuring and maintaining clinical systems
  • Prior clinical experience will be a plus
  • Experience with prior authorization, utilization management, claim management desired
  • Experience with project management
  • Experience creating and managing complex databases
  • Experience with data exchange/transformation and/or integration/interoperability analysis and implementation
  • Experience creating and maintaining reports using BI and other analytics tools
  • Knowledge of version control systems
  • Knowledge of configuration management tools
  • Analytical thinking
  • Work effectively with team members, employees and customers
  • Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment
  • Structured way of working
  • Strong problem-solving skills
  • High attention to detail
Responsibilities
  • Understand client configuration needs and translate into project plans and roadmaps
  • Establish priorities and work assignments, and track compliance to procedures and policies
  • Conduct periodic audits according to a defined audit sequence, and oversee their implementation
  • Define the scope and level of detail for the documents, baselines, and clinical configuration items (CIs) for any project the team is responsible for
  • Oversee clinical configuration change management across all customers
  • Provide an accurate information base about Cohere Health products and their configuration information throughout their life cycle
  • Serve as subject matter expert in all matters related to clinical configuration aspects of the Cohere Health platform to both internal and external customers and members of the team
  • Lead efforts to implement and maintain clinical configuration items in Cohere Health configuration management database (CMDB), helping with defining its scope and objectives. You will lead the identification of what clinical attributes and relationships to capture, what level of accuracy and detail to maintain, what outcomes and benefits to expect from the CMDB, and what CIs to include
  • Communicate with clients about clinical configuration in a professional manner
  • Serve as direct manager for and mentor members of the team, actively contributing to their professional growth and success
  • Facilitate a shared understanding across teams and departments about how clinical functionality in the product can be configured
  • Closely work with Cohere Health product and development teams to ensure that new features and functionality clinical in nature that require to be configured on behalf a client are designed and built with that in mind
  • Work with clinical configuration team to scope, develop and implement configuration management tools that will make it easier, more efficient and reliable the process of creating and maintaining clinical configuration
  • Work with third-party vendors and partners to ensure any tools or services used to support the lifecycle of clinical configuration management are properly implemented and supported

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, setting Cohere Health apart from competitors who may not offer such comprehensive automation. The company's goal is to enhance patient outcomes and reduce costs for healthcare providers and health plans.

Company Stage

Series C

Total Funding

$122.2M

Headquarters

Boston, Massachusetts

Founded

2019

Growth & Insights
Headcount

6 month growth

8%

1 year growth

19%

2 year growth

61%
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Simplify's Take

What believers are saying

  • Cohere Health's recent $50 million equity raise indicates strong investor confidence and provides ample resources for further innovation and expansion.
  • The expansion of its partnership with Humana to cover diagnostic imaging and sleep services demonstrates the platform's scalability and effectiveness.
  • Being named a 2024 Built In Best Place to Work highlights a positive company culture, which can attract top talent and drive further growth.

What critics are saying

  • The digital health market is highly competitive, and maintaining a technological edge requires continuous innovation and investment.
  • Dependence on large partnerships, such as with Humana, could pose risks if these relationships were to change or dissolve.

What makes Cohere Health unique

  • Cohere Health's Cohere Unify platform uniquely integrates with EMRs and uses OCR to handle fax submissions, setting it apart from competitors who may not offer such comprehensive automation.
  • The company's focus on responsible AI and machine learning for automating prior authorization decisions ensures compliance with health plan policies, providing a competitive edge in accuracy and reliability.
  • Cohere Health's recognition through awards like the 2021 TripleTree iAwards and the KLAS Points of Light Award underscores its industry leadership and innovative approach.
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