Full-Time

Business Intelligence Engineer

Confirmed live in the last 24 hours

Cohere Health

Cohere Health

501-1,000 employees

Automates prior authorization in healthcare

AI & Machine Learning
Healthcare

Compensation Overview

$75k - $95kAnnually

+ Bonus + Health Insurance + 401k

Mid

Remote in USA

Category
Data Management
Data Analysis
Data & Analytics
Required Skills
Power BI
Python
R
SQL
Tableau
Data Analysis
Requirements
  • A minimum of 3+ years of professional experience in health informatics/ healthcare data analytics/ healthcare financial forecasting (working knowledge on hospital and professional services billing).
  • Mandatory advanced knowledge of observation data analyses with large datasets including medical, provider, member, pharmacy, and eligibility data – including familiarity with working with claims at the code level (ICD-10, DRG, CPT/HCPCS, revenue codes).
  • Knowledge on processing and analyzing large healthcare claims and payor datasets.
  • Working knowledge on database architecture in cloud, relational databases, enterprise data warehouses and data lakes.
  • SQL experience required, Python / R is a plus.
  • Proficiency in BI tools such as Tableau, Power BI, or equivalent. Tableau preferred.
  • Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment.
  • Excellent communication skills, with proven ability to create & deliver the results of analyses to non-technical audiences.
  • Bachelor’s Degree in Math, Statistics, Biostatistics, Actuarial Science, or Economics, Health Informatics, Public Health required.
Responsibilities
  • Collaborate with business stakeholders to understand reporting needs and translate them into functional requirements.
  • Be a subject matter expert on medical coding methodologies and clinical workflows.
  • Optimize and enhance existing reports to improve data accuracy and visualization effectiveness.
  • Ensure data consistency and quality in reports by working closely with the data management team.
  • Perform data analysis and ad-hoc queries to support business decision-making.
  • Stay current with industry best practices and emerging BI technologies.

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 machine learning to speed up decision-making. This approach sets them apart from competitors by offering a Platform-as-a-Service model that health plans can license for their internal teams. The goal of Cohere Health is to make the prior authorization process more efficient, benefiting patients and reducing costs for 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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