Product Manager, Clinical Intelligence/HEDIS at Cohere Health

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Digital HealthIndustries

Requirements

Minimum of 3 years of experience in product management in care management, digital health, or adjacent industries with a focus on driving efficiencies in clinical workflows at scale
Ability to synthesize complex insights and run experiments to develop a product strategy for the team
Proven experience synthesizing business and customer needs to independently form (and execute on) a product roadmap
Exceptional analytical capabilities and a dogged determination to always make decisions and validate hypotheses informed by data
Strong problem-solving skills and willingness to roll up one’s sleeves to get the job done

Responsibilities

Work cross-functionally to align the scope and product requirements for the MVP and ongoing roadmap
Independently align stakeholders, research, design and engineering to execute against your roadmap
Gain a deep understanding of the HEDIS problem space and where we can deliver value. Translate user pain points into actionable opportunities with measurable impact
Work closely with Design, Product Engineering, Machine Learning, Data Science, and User Research teams to deliver solutions that have demonstrable and measurable impact
Define key success metrics and ensure all solutions are measurable to demonstrate value to both internal and client stakeholders
Act as an evangelist of your product to both internal stakeholders and client leadership

Skills

Product Management

HEDIS

Clinical Intelligence

Care Management

Digital Health

Product Roadmap

Stakeholder Alignment

User Research

Data Analysis

Machine Learning

Data Science

Experimentation

Metrics Definition

Cohere Health

Automates prior authorization in healthcare

About Cohere Health

Cohere Health improves the prior authorization process in healthcare, which requires providers to get approval from health plans before delivering certain services. Their platform, Cohere Unify, automates and streamlines these requests by integrating with electronic medical records and using technologies like optical character recognition and machine learning. This approach allows for faster decision-making and reduces delays in patient care. The goal is to make the prior authorization process more efficient, benefiting healthcare providers, health plans, and patients.

Boston, MassachusettsHeadquarters

2019Year Founded

$103.1MTotal Funding

LATE_VCCompany Stage

AI & Machine Learning, HealthcareIndustries

501-1,000Employees

Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options

Risks

Increased competition from AI-driven startups like Abridge threatens market share.

Flat healthcare IT deal activity may impact future funding opportunities.

Dependency on Humana partnership poses risk if challenges arise in the relationship.

Differentiation

Cohere Health automates prior authorization, reducing delays and administrative burdens.

The Cohere Unify platform integrates with EMR and uses OCR for fax submissions.

Machine learning and AI enhance decision-making based on health plan policies.

Upsides

Humana expanded Cohere's platform use, showing trust and potential for more partnerships.

Cohere raised $50 million, indicating strong investor confidence and growth potential.

KLAS award recognition highlights effectiveness, attracting more healthcare providers.

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