Senior Integration Analyst at Cohere Health

United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

5+ years of experience scoping, vetting, and delivering scalable, configurable healthcare integration solutions to satisfy product/data workflows (preferred, but not required)
Bachelor’s or Master’s degree in Computer Science, Engineering, or equivalent professional experience
Experience with interfaces that integrate clinical and ancillary systems from vendors such as provider order entry, electronic medical records, hospital information systems, scheduling, etc
Hands-on experience with EDI transactions such as 270/271, 278/278I, 837I/837P
Experience with healthcare standards and interoperability including but not limited to HL7 2.x, HL7 3.x, HL7 FHIR, IHE integration profiles and technical frameworks
Experience with healthcare medical coding systems (ICD9/ICD10, SNOMED, LOINC, RxNorm, NDC, CPT, HCPCS)
Track record of successfully analyzing, defining, and overseeing requirements for complex products and integrations
Knowledge of big data technologies (AWS products such as S3) and data integration methods (sFTP, APIs)
Ability to understand and discuss technical concepts, suggest and evaluate technical solutions, and manage trade-offs
Ability to use data and metrics to back up assumptions, recommendations, and drive actions
Track record of delivering with cross-functional agile scrum teams
Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment

Responsibilities

Scope, define, and lead feature development that facilitates workflows between the Cohere platform and payer/provider third-party systems, ensuring seamless interoperability
Define technical requirements and integration workflows, collaborating with internal teams and external stakeholders to align business needs with technical capabilities
Deliver results by empowering cross-functional teams—including clinical, engineering, analytics, and operations—while fostering an inclusive, energetic team environment that unlocks the full potential of our people
Assess risks, dependencies, and technical tradeoffs, proactively mitigating obstacles to ensure successful project execution
Establish metrics and key performance indicators (KPIs) for success, continuously monitoring and refining strategies to drive impactful outcomes
Serve as a client-facing analyst, working closely with payer and provider stakeholders to gather business requirements, translate them into technical specifications, and ensure solutions align with their operational workflows
Act as the primary liaison between external stakeholders and internal teams, facilitating clear communication, managing expectations, and driving stakeholder engagement throughout the development lifecycle
Structure, write, prioritize, and maintain epics, stories, and acceptance criteria, working closely with engineering and analytics teams to execute in sprints for rapid delivery and iteration
Iterate and improve Cohere’s agile development process as we scale, identifying areas for optimization and implementing best practices to enhance efficiency and collaboration

Skills

Integration

Interoperability

Healthcare Workflows

Technical Requirements

Stakeholder Engagement

Analytics

KPIs

Risk Assessment

Project Management

Data Platforms

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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