Leverage AI to transform prior authorization from transaction management to care journey management.
680+ employees
HealthcareArtificial IntelligenceSaaSMedTech
Role
Who you are
2+ years analytical experience at company where health outcomes were critical to the mission, preferably a healthcare analytics company or population health organization
Proficient in current modeling approaches, standard scientific methods for intervention based analysis, trend identification, and data analytics
Strong experience using a variety of data mining/data analysis methods, utilizing a variety of analytic tools, building and implementing models, creating algorithms and running simulations
Experience with programming languages (Python, R, PySpark, Scala and/or Spark SQL)
Strong interest and understanding of EMR data, Claims and SDOH data
Experience with data visualization tools such as Tableau and Kibana, preferred
Bachelor’s or Master’s degree in STEM, public health, biostatistics, economics, or other related field
What the job involves
Play a key role in gathering business requirements, using them for trend analysis and uncovering actionable insights, and writing technical requirements; using a variety of analytic tools
Perform in-depth analysis of healthcare data coupled with data from product and other sources to independently design, develop, and deliver analytic deliverables that meet quality, cost and service objectives
Leveraging data from various sources, e.g., eligibility, medical, pharmacy claims, and data submitted by providers via the prior authorization process, working with Clinical Programs to analyze and simulate expected impact and ROI, e.g., medical expense, administrative cost, improved quality and outcomes
Present information using data visualization techniques and propose solutions and strategies to business challenges
Cohere Health is a clinical intelligence company dedicated to enhancing healthcare quality through intelligent prior authorization, aligning physicians and health plans with evidence-based care paths to improve patient outcomes while reducing administrative expenses.