Full-Time

Healthcare Analytics Analyst

Posted on 8/22/2024

Cohere Health

Cohere Health

501-1,000 employees

Automates prior authorization in healthcare

AI & Machine Learning
Healthcare

Compensation Overview

$80k - $100kAnnually

+ Bonus

Junior, Mid

Remote in USA

Category
Data Science
Data Analysis
Data & Analytics
Required Skills
R
SQL
Tableau
Data Analysis
Requirements
  • 2+ years experience working in an analyst role
  • Bachelor’s degree in Health Informatics, Public Health or related field preferred
  • Experience interfacing with internal stakeholders and colleagues on the development and definition of client and program specific KPIs
  • Ability to use statistical analysis tools (such as SQL, R, 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 will be essential to convey complex information to stakeholders and collaborate effectively with internal stakeholders and clients
  • Experience setting goals and meeting deadlines for multiple ongoing projects
  • Ability to identify issues within healthcare data and devise solutions
  • 1+ years experience building and/or maintaining dashboards and self service business intelligence tools such as Tableau or PowerBI
  • Understanding of healthcare systems, medical terminologies, clinical workflows, and regulations preferred
  • Ability to navigate ethical dilemmas in healthcare data management and analysis while upholding professional standards and integrity
  • Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible
  • Must be comfortable working independently in a fast paced environment
Responsibilities
  • Research, Build, Execute and Optimize auto decisioning strategy for new client implementations
  • 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 improve auto-decisioning performance and drive increased value for clients
  • Perform quantitative analysis of health care cost, operational performance and clinical outcomes using claims and authorization data
  • Track cost, utilization and industry trends to inform stakeholders of solution performance and provide insights around opportunities to optimize clinical value for patients, providers and payers.
  • Prepare information for clients, build reports, data visualization and self service solutions for internal and external stakeholders
  • Develop, review, and analyze detailed data sets leveraged for client reporting/analytics
  • Collaborate with IPA team on rule refinement and metric tracking

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 Stage

N/A

Total Funding

$103.1M

Headquarters

Boston, Massachusetts

Founded

2019

Growth & Insights
Headcount

6 month growth

12%

1 year growth

21%

2 year growth

64%
Simplify Jobs

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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