Director of Analytics & Insights, Cohere Health
$155-175k
+ Bonus
Simplifying healthcare for patients and their doctors
Job no longer available
Simplifying healthcare for patients and their doctors
501-1000 employees
Job no longer available
$155-175k
+ Bonus
501-1000 employees
Company mission
To make the healthcare journey better for everyone.
Role
Who you are
- Minimum 6 years of professional experience in healthcare industry (payer, provider, consulting), with demonstrated quantitative analytical and critical thinking skills
- Minimum of 3 years in a managerial role
- Extensive knowledge of healthcare data, including medical claims, pharmacy claims, prior authorization and member eligibility data
- Demonstrated passion for improving the U.S. healthcare system and ensuring that every patient receives the highest quality care possible
- Proven ability to work independently and thrive in a dynamic, fast-paced start-up environment, leading cross-functional teams to meet tight deadlines
- Exceptional communication skills, with the ability to present complex data insights to non-technical stakeholders
- Advanced expertise in clinical terminologies such as ICD-10, CPT, HCPCS, LOINC, SNOMED, and NDC
- Familiarity with quality measures (HEDIS, MIPS, IQR, NQF) and care management processes is a plus
- Expertise in statistical analysis and methodologies, including hypothesis testing, regression analysis, and multivariate analysis
- Proficiency in programming languages such as Python, R, or SAS for data analysis, automation, and model development
- Master’s Degree in Public Health, Health Policy, Biostatistics, or Health Economics preferred
What the job involves
- This is an excellent opportunity for an outstanding analytics leader
- You will lead a team of data analysts and clinical informatics leads, and you will work closely with clinicians, clinical program leaders, data scientists, and actuaries to support data-driven clinical programs with ownership from pilot design and opportunity sizing, through monitoring, reporting, and evaluation
- This team’s primary focus around trend monitoring and program analytics, will enable the overall efficacy and continuous enhancement of clinical programs that improve a) payor/provider/patient collaboration through the utilization management and care management process, b) quality of care and patient outcomes, and c) healthcare utilization and spending efficiency
- Last but not least: People who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles
- Deeply understand Cohere’s clinical content, products, services and clinical programs and how Cohere’s solutions intersect with healthcare providers’ workflow and patients’ care journey
- Direct a team of data analysts and clinical informatics leads, ensuring high collaboration with clinicians, program leaders, data scientists, and actuaries to deliver insights for data-driven clinical programs
- Oversee key performance indicators (KPIs) for the team, manage task pipelines, and ensure timelines are met
- Maintain high clinical analytics standards and develop methodologies, and processes to ensure quality control, documentation, and productization in support of clinical programs
- Identifying, prioritizing, and evaluating program opportunities using both qualitative and quantitative methods to enhance financial trends, care quality, and patient experience
- Defining target populations for analysis, along with outcome and success metrics
- Ongoing evaluation of claims trends and clinical program pilots to uncover insights and refine future initiatives
- Ensuring data integrity, accuracy and security in all analytics processes
- Provide technical and subject matter expertise on healthcare data analysis, including medical claims, pharmacy data, and eligibility data
- Represent the team’s work and insights to both internal and external stakeholders, effectively communicating complex technical analyses to diverse audiences
- Guide the professional and technical growth of your team through regular feedback, KPI tracking, and personalized development plans
- Collaborate closely with clinicians, data scientists, and program leaders to provide actionable insights that shape clinical programs and improve patient outcomes
Our take
Every year, billions of dollars are wasted in healthcare through overtreatment, failure of care coordination, and administrative complexity. Cohere Health blames this on the prior authorization process, a time-consuming manual system that the company aims to modernize with its CohereNext platform.
Cohere Health's platform automates the authorization process to help avoid care delays and friction between parties, while also providing analytics to identify the most suitable physicians and care paths for the patient. While there are a host of other solutions that also automate these tasks, Cohere claims to stand out by improving the whole patient journey, rather than just automating an administrative transaction.
Through partnerships with organizations like Humana and the American Academy of Orthopaedic Surgeons, Cohere Health serves millions of members and thousands of physicians. By securing impressive funding, the company has been able to scale beyond its pandemic-era initial success, to be recognized as a top player in the space. Its latest release is "Cohere Unify", an end-to-end solution for administrative efficiency that is driven by advanced analytics and AI/ML algorithms.
Steph
Company Specialist at Welcome to the Jungle
Insights
Company
Funding (last 2 of 4 rounds)
Feb 2024
$50m
LATE VC
Apr 2021
$36m
SERIES B
Total funding: $106m
Company benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life & Disability Insurance
- Flexible Time Off & Holidays
- 401(K) Retirement Plan with Employer Match Program
- Wellness Coach App
- Parental Leave
- Learning & Development Opportunities
Company values
- Purpose drives performance: We’re passionate about bringing together the science, technology, and expertise to better guide outcomes and experiences for patients.
- Rethink the status quo: We’re committed to simplifying healthcare, breaking down silos, and building a more efficient collaborative process for patients, physicians, and health plans.
- Embrace humility: We learn with intent, we ask questions, we adapt and recognize that the way forward is rarely a straight path. As innovators, we welcome ambiguity and thrive in uncertainty.
- Connect, collaborate, cohere: It’s not just our name, it’s how we work – we respect and trust the insights, intelligence, and thoughtfulness of those we work with..
Company HQ
West End, Boston, MA
Articles
Leadership
Siva Namasivayam
(CEO)Worked as a Software Engineer for Intel before working at Fidelity and spending 4 years as a Gartner Director of Consulting. They were CEO of SCIO Health Analytics before co-founding Cohere Health.
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