Cohere Health · 2 hours ago
Director, Analytics & Insights
United States
Full-time
Remote
Director/Executive
$155K/yr - $175K/yr
6+ years exp
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Responsibilities
Maintain high clinical analytics standards and develop methodologies, and processes to ensure quality control, documentation, and productization in support of clinical programs. This includes:
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.
Qualification
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Required
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.
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.
Preferred
Familiarity with quality measures (HEDIS, MIPS, IQR, NQF) and care management processes is a plus.
Master’s Degree in Public Health, Health Policy, Biostatistics, or Health Economics preferred.
Benefits
Health insurance
401k
Bonus
Company
Cohere Health
Cohere Health is a SaaS company that focuses on improving the efficiency and effectiveness of healthcare delivery.
501-1,000 employees
H1B Sponsorship
Cohere Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (18)
2022 (10)
2021 (7)
2020 (2)
Funding
Current Stage
Late StageTotal Funding
$96.1MKey Investors
Deerfield ManagementPolaris Partners
2024-02-01Series C· $50M
2021-04-13Series B· $36.1M
2020-07-16Series A· $10M
Leadership Team
Siva Namasivayam
Chief Executive Officer
Niall O'Connor
Chief Technology Officer
Recent News
2024-10-11
Company data provided by crunchbase
