Cohere Health

👥 501-1000💰 $50,000,000 Series C 12 months agoSaaSConsumer SoftwareHealth CareSoftware💼 Private Company
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Cohere Health is a technology-focused company that engages in the development and implementation of innovative solutions in the health sector, seeking to optimize healthcare delivery and improve patient outcomes.

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🔥 Product Manager
Posted about 8 hours ago

💸 120000.0 - 145000.0 USD per year

🔍 Clinical intelligence, digital health

  • Minimum of 3 years experience in product management in care management, digital health, or similar fields.
  • Experience with '0 to 1' product development, synthesizing insights, and running experiments.
  • Ability to independently synthesize business and customer needs into a product roadmap.
  • Exceptional analytical skills to make decisions based on data.
  • Proven problem-solving abilities and a hands-on approach to tasks.
  • Experience leading and mentoring cross-functional teams in a matrix organization.

  • Work with the Review Product Lead to prioritize initiatives that drive efficiency and improved decision making.
  • Align stakeholders, research, design, and engineering to execute the product roadmap.
  • Leverage data-driven insights and deep user knowledge to deliver automation.
  • Understand patient, provider, and payer decision-making to translate pain points into actionable opportunities.
  • Collaborate with design, engineering, machine learning, data science, and user research to deliver impactful solutions.
  • Define key success metrics to measure value for stakeholders.
  • Act as a product evangelist to internal stakeholders and client leadership.
Posted about 8 hours ago
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🔥 RN Reviewer
Posted 7 days ago

📍 United States

💸 32.0 - 35.0 USD per hour

🔍 Clinical intelligence

  • Registered Nurse with active, unencumbered license in state of residence.
  • Minimum 3 years of clinical experience.
  • Required Utilization Management experience.
  • Experience in acute care and/or post-acute care environments.
  • Preferred experience includes HEDIS RN/abstraction, Legal RN, Utilization Review.
  • Strong communication skills, both written and oral.
  • Understanding of NCQA and CMS standards.
  • Proficient in using MCG guidelines.

  • Performs medical necessity review including inpatient, concurrent, prior authorization, retrospective, and treatment setting reviews.
  • Consults with Medical Directors regarding care that does not meet criteria.
  • Documents clinical information accurately and timely.
  • Maintains understanding of Cohere Health’s authorization and clinical criteria.
  • Identifies and refers members to appropriate healthcare programs.
  • Collaborates and educates with various stakeholders to ensure criteria consistency.
  • Ensures compliance with accreditation and regulatory requirements.
  • Participates in quality improvement activities.
Posted 7 days ago
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🔥 Weekend RN Reviewer
Posted 7 days ago

📍 United States

💸 33.0 - 35.0 USD per hour

🔍 Clinical intelligence

  • Registered Nurse with active, unencumbered license in the state of residence.
  • Minimum of 3 years of clinical experience.
  • Utilization Management experience is required.
  • MCG certification is preferred.
  • Experience in acute or post-acute care environments is desired.
  • Understanding of NCQA and CMS standards.
  • Excellent written and oral communication skills.

  • Performs medical necessity review including inpatient, concurrent, prior authorization, and retrospective reviews to ensure appropriateness and compliance.
  • Communicates consistently with providers and facility staff to meet member needs.
  • Documents clinical information completely, accurately, and timely.
  • Maintains understanding of authorizations and clinical criteria.
  • Identifies clinical program opportunities and refers to healthcare programs.
  • Collaborates with various teams to ensure application of clinical criteria.
  • Ensures compliance with accreditation and regulatory requirements.
  • Supports quality improvement activities.
Posted 7 days ago
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🧭 Full-Time

💸 170000.0 - 200000.0 USD per year

🔍 Healthcare technology

  • 10+ years of hands-on experience in data engineering and analytics.
  • 5+ years of experience in leading healthcare data engineering or analytics software development.
  • Bachelor’s or Master’s degree in Computer Science, Engineering, or similar.
  • Deep expertise in translating complex data into enterprise-grade products.
  • Experience with cloud providers and data technologies like Spark, Kafka, Glue, Databricks, Snowflake.
  • Strong organizational skills with agile methodologies understanding.
  • Knowledge in data security protocols and healthcare coding standards.

  • Provide thought leadership & strategic thinking for data warehouse and architecture design.
  • Lead initiatives for enterprise master data accuracy.
  • Collaborate with teams to create scalable data solutions.
  • Oversee data quality and governance.
  • Mentor and foster a collaborative culture.
  • Drive data product adoption through training and support.
Posted 2 months ago
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🧭 Full-Time

💸 135000.0 - 165000.0 USD per year

🔍 Healthcare

  • 6+ years of professional experience at a company where health outcomes were critical to the mission, preferably a healthcare analytics company or population health organization.
  • 3+ years experience in team development, training, and recruiting.
  • Experience with the Amazon AWS cloud platform.
  • Proficiency in programming languages such as Python, PySpark, Scala, and/or Spark SQL.
  • Familiarity with NoSQL databases like MongoDB or Cassandra.
  • Strong understanding of EMR data, Claims, and SDOH data.
  • Master’s degree in STEM, public health, biostatistics, economics, or a related field.

  • Work cross-functionally to design appropriate data use capabilities across various business needs.
  • Develop, implement, and monitor day-to-day operations of data management team.
  • Collaborate with internal and external stakeholders to gather data requirements.
  • Set strategic goals for operational efficiency and increased productivity.
  • Lead the team to implement automated ETL with robust data governance processes.
  • Hands-on data processing and data modeling in a big data environment.
  • Facilitate data implementation and ensure accuracy.
Posted 3 months ago
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