Healthcare Analyst II

Cohere Health is a company focused on optimizing healthcare through their clinical intelligence platform. They are seeking a Healthcare Analyst II to conduct analyses that inform product performance and develop new clinical intervention strategies, directly impacting company growth and patient care.

Responsibilities

• Research, build, execute and optimize auto-decisioning strategy for new client implementations
• Work with multiple types of healthcare data to build and maintain analytical and reporting solutions to support strategy and program decision making
• Identify optimization opportunities based on analyses to improve auto-decisioning performance and drive increased value for clients
• Perform quantitative analysis of health care cost, operational performance and clinical outcomes using claims and authorization data
• Track cost, utilization and industry trends to inform stakeholders of solution performance and provide insights around opportunities to optimize clinical value for patients, providers and payers
• Prepare information for clients, build reports, data visualization and self-service solutions for internal and external stakeholders
• Develop, review, and analyze detailed data sets leveraged for client reporting/analytics
• Collaborate with IPA team on rule refinement and metric tracking

Preferred

• Bachelor's degree in Health Informatics, Public Health or related field preferred
• Experience with Athena
• Understanding of healthcare systems, medical terminologies, clinical workflows, and regulations
• Experience interfacing with internal stakeholders and colleagues on the development and definition of client and program specific KPIs
• Demonstrated success in navigating ethical dilemmas in healthcare data management and analysis
• Health Informatics
• Athena
• Healthcare Systems
• Medical Terminologies
• Clinical Workflows
• KPI Development
• Interpersonal Communication
• Ethical Decision-Making

Benefits

• 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
• Flex Time Off + company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance

Company

• AI-powered prior authorization and payment integrity for health plans
• Boston, Massachusetts, USA
• https://coherehealth.com/
• Founded in 2019
• 501-1000 employees

Qualifications

• 2+ years of experience working in an analyst role
• 1+ years experience building and/or maintaining dashboards and self-service business intelligence tools such as Tableau or PowerBI
• Demonstrated expertise in conducting complex analyses and identifying opportunities to drive enhanced value
• Proficiency with statistical analysis tools (such as SQL, R, or SAS) to extract insights from complex healthcare data sets, interpret trends, and derive actionable recommendations
• Strong verbal and written communication skills to convey complex information to stakeholders and collaborate effectively with internal stakeholders and clients
• Experience setting goals and meeting deadlines for multiple ongoing projects
• Ability to work independently in a fast-paced environment with rapid execution and quick iteration based on feedback
• Customer-first mindset with ability to deliver top-quality work for internal and external customers
• Bachelor's degree in Health Informatics, Public Health or related field preferred
• Experience with Athena
• Understanding of healthcare systems, medical terminologies, clinical workflows, and regulations
• Experience interfacing with internal stakeholders and colleagues on the development and definition of client and program specific KPIs
• Demonstrated success in navigating ethical dilemmas in healthcare data management and analysis

Required skills

• Healthcare data analysis, Auto-decisioning strategy, Dashboard building, Tableau, PowerBI, SQL, R, SAS, Athena, Healthcare systems knowledge, Medical terminologies, Clinical workflows, Healthcare regulations, KPI development

Preferred skills

• Experience with Athena

Experience

• 2+ years