Cohere Health

👥 501-1000💰 $50,000,000 Series C about 1 year agoSaaS Consumer Software Health Care Software💼 Private Company

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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Jobs at this company:

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🔥 Product Manager

Posted about 1 month ago

📍 United States, Canada

🧭 Full-Time

💸 120000.0 - 145000.0 USD per year

🔍 Digital Health

🔧 Requirements

3 years experience in product management
Track record of '0 to 1' product experience
Strong analytical capabilities
Experience leading cross-functional teams

💡 Responsibilities

Work with the Review Product Lead to prioritize initiatives
Align stakeholders, research, design, and engineering
Leverage data-driven insights to deliver automation
Translate user pain points into actionable opportunities
Define key success metrics for solutions

Data AnalysisMachine LearningProduct ManagementCross-functional Team LeadershipStakeholder management

Posted about 1 month ago

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🔥 RN Reviewer

Posted about 1 month ago

📍 United States

💸 32.0 - 35.0 USD per hour

🔍 Clinical intelligence

🔧 Requirements

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.

💡 Responsibilities

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 about 1 month ago

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🔥 Weekend RN Reviewer

Posted about 1 month ago

📍 United States

💸 33.0 - 35.0 USD per hour

🔍 Clinical intelligence

🔧 Requirements

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.

💡 Responsibilities

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 about 1 month ago

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🔥 Senior Manager, Data Management

Posted 4 months ago

📍 United States, Canada

🧭 Full-Time

💸 135000.0 - 165000.0 USD per year

🔍 Healthcare Analytics

🔧 Requirements

6+ years in healthcare analytics
3+ years in team development, training, and recruiting
Experience with AWS cloud platform
Knowledge of Python, PySpark, Scala, or Spark SQL
Familiarity with NoSQL databases like MongoDB or Cassandra
Understanding of EMR data, Claims, and SDOH data
Master's degree in STEM, public health, biostatistics, economics, or related field

💡 Responsibilities

Design data use capabilities across business needs
Monitor data management team operations
Gather data requirements from stakeholders
Set strategic goals for efficiency and productivity
Implement automated ETL with data governance
Hands-on data processing and modeling

AWSPythonETLMongoDBCassandraScalaData modeling

Posted 4 months ago

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