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, setting Cohere Health apart from competitors who may not offer such comprehensive automation. The company's goal is to enhance patient outcomes while 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

12%

1 year growth

25%

2 year growth

64%
Simplify Jobs

Simplify's Take

What believers are saying

  • Humana expanded Cohere's platform use, showing trust and potential for more partnerships.
  • Cohere raised $50 million, indicating strong investor confidence and growth potential.
  • KLAS award recognition highlights effectiveness, attracting more healthcare providers.

What critics are saying

  • Increased competition from AI-driven startups like Abridge threatens market share.
  • Flat healthcare IT deal activity may impact future funding opportunities.
  • Dependency on Humana partnership poses risk if challenges arise in the relationship.

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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