Senior Healthcare Analyst

Opportunity Overview:

This is an excellent opportunity for an outstanding data analyst to join a Series C digital health company. You will work closely with clinicians, program implementation, operation experts, informaticists, data scientists, and actuaries to support data-driven clinical programs. These programs are essential in improving a) payor/provider/patient collaboration, b) quality of care and patient outcomes, and c) healthcare utilization and spending efficiency. The work will be fast-paced and project-based, with evolving needs requiring adaptability, curiosity, and grace under pressure.

What you'll do:
• Cultivate a deep understanding of Cohere's clinical content, UM products and clinical programs and use analytics to produce insights to drive program effectiveness and value for internal business partners and clients
• Work with administrative and clinical health data to build and maintain analytical and reporting solutions to support strategy and program decision making
• Identify optimization opportunities using statistical analysis, data mining, and predictive modeling methods to improve automation while enhancing decision quality and patient outcome
• Collaborate with clinical, account management, data science, and engineering partners to refine Cohere's product features and client support
• Track cost, utilization, and industry trends to inform stakeholders of product performance and provide data-driven insights around opportunities to optimize clinical value for patients, providers and payers.

What you'll need:
• Work Experience: 5+ years experience working in a big-data analytics role
• Data Analysis and Interpretation: Ability to use statistical analysis and modeling tools (such as SQL and Python) to extract insights from complex healthcare data, interpret trends, and derive actionable recommendations - experience with Athena and AWS Sagemaker preferred
• Healthcare Knowledge: Understanding of healthcare systems, medical terminologies, clinical workflows, and experience with large data sets including medical claims, pharmacy, and eligibility data required
• Experience with clinical and utilization management programs for speciality care (e.g., musculoskeletal, cardiology, imaging, oncology, pharmacy) preferred
• Data Visualization: Experience developing dashboards and self service business intelligence tools such as Tableau required
• Collaboration: Experience interfacing with internal and external business stakeholders on the development and read out of client and program specific KPIs
• Project Execution: Experience owning complex projects, coordinating with multidisciplinary teams, setting goals, and meeting deadlines for multiple ongoing projects
• Problem-Solving and Critical Thinking: Ability to identify issues within healthcare data, devise solutions, and think critically to develop scalable solutions to problems
• Communication Skills: Strong verbal and written communication skills required
• Education: Bachelor's degree in a healthcare or quantitative discipline such as Epidemiology, Economics, Statistics, Data Science, Health Informatics, Public Health or related field required, Master's degree preferred

Pay & Perks:

Fully remote opportunity with about 5% travel

Medical, dental, vision, life, disability insurance, and Employee Assistance Program

401K retirement plan with company match; flexible spending and health savings account

️ Up to 184 hours (23 days) of PTO per year + company holidays

Up to 14 weeks of paid parental leave

Pet insurance

The salary range for this position is $100,000 to $110,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:
• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Case Study and Presentation
• Team Interview
• Leadership Interview
• Subject to change

About Cohere Health:

Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent heal