Lead Healthcare Analyst

Posted An Hour Ago
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Hiring Remotely in United States
Remote
112K-125K Annually
Senior level
Healthtech • Software
Cohere Health provides clinical intelligence solutions to streamline payer and provider collaboration.
The Role
Leads healthcare analytics projects using clinical, claims, pharmacy, and eligibility data to evaluate cost, utilization, quality, and program performance. Develops statistical analyses, predictive models, dashboards, and reporting solutions; identifies optimization opportunities; partners with clinical, product, engineering, and business teams; presents recommendations to stakeholders; and mentors junior analysts.
Summary Generated by Built In

Opportunity Overview:

This is an excellent opportunity for an outstanding data analyst to join a Series B digital health company. You will work closely with clinicians, program implementation, operation experts, informaticists, data scientists, and actuaries to support data-driven clinical programs. These programs are essential in improving a) payor/provider/patient collaboration, b) quality of care and patient outcomes, and c) healthcare utilization and spending efficiency. The work will be fast-paced and project-based, with evolving needs requiring adaptability, curiosity, and grace under pressure.  

What you’ll do:

  • Cultivate a deep understanding of Cohere’s clinical content, UM products and clinical programs and use analytics to produce insights to drive program effectiveness and value for internal business partners and clients.
  • Lead clinical analytics projects, collaborating with multi-disciplinary partners, to understand business needs, clinical nuances, formulate plans, build and maintain analytical and reporting solutions.
  • Independently lead in-depth analyses and Identify optimization opportunities by applying statistical data mining, and predictive modeling methods on administrative and clinical health data.
  • Track cost, utilization, and industry trends to inform stakeholders of product performance and provide data-driven insights around opportunities to optimize clinical value for patients, providers and payors.
  • Collaborate with clinical, account management, data science, and engineering partners to refine Cohere’s product features and client support.
  • Foster a collaborative and innovative culture, mentor junior analysts.
  • Maintain meticulous documentation and present findings or recommendations to company leadership and internal stakeholders

What you’ll need:

  • Work experience:
    • 7+ years of experience working in a big-data analytics role.
    • 2+ years of hands-on project leadership experience in the healthcare industry.
  • Collaboration: Experience interfacing with internal and external business stakeholders on the development and read out of client and program specific KPIs.
  • Data Analysis and Interpretation: Ability to use statistical analysis and modeling tools (such as SQL and Python) to extract insights from complex healthcare data, interpret trends, and derive actionable recommendations.
  • Healthcare Knowledge: Understanding of healthcare systems, medical terminologies, clinical workflows, and experience with large data sets including medical claims, pharmacy, and eligibility data.
  • Data Visualization: experience developing dashboards and self service business intelligence tools such as Tableau.
  • Communication Skills: Strong verbal and written communication skills required.
  • Project Execution: Experience owning complex projects, coordinating with multidisciplinary teams, setting goals, and meeting deadlines for multiple ongoing projects.
  • Problem-Solving and Critical Thinking: Ability to identify issues within healthcare data, devise solutions, and think critically to develop scalable solutions to problems.
  • Education: Bachelor’s degree in a healthcare or quantitative discipline such as Epidemiology, Economics, Statistics, Data Science, Health Informatics, Public Health or related field required.

Bonus:

  • Experience with clinical and utilization management programs for specialty care (e.g.  musculoskeletal, cardiology, imaging, oncology, pharmacy).
  • Experience working with unstructured data from EMR/EHR systems (e.g. office visit notes, imaging reports).
  • Familiarity with AWS Athena and Sagemaker.
  • Master’s degree in healthcare or quantitative field.

Pay & Perks:

💻 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 

🏝️ Flexible Time Off + Company Holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $112,000 to $125,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:

  1. Connect with Talent Acquisition for a Preliminary Phone Screening
  2. Meet your Hiring Manager!
  3. Case Study and Presentation 
  4. Team Interview
  5. Leadership Interview

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement: 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us, it’s personal.

#LI-Remote

#BI-Remote

Skills Required

  • 7+ years of experience in a big-data analytics role
  • 2+ years of hands-on project leadership experience in the healthcare industry
  • Experience interfacing with internal and external stakeholders on client and program-specific KPIs
  • Experience using statistical analysis and modeling tools such as SQL and Python
  • Understanding of healthcare systems, medical terminology, and clinical workflows
  • Experience with medical claims, pharmacy, and eligibility data
  • Experience developing dashboards and self-service business intelligence tools such as Tableau
  • Strong verbal and written communication skills
  • Experience owning complex projects and coordinating multidisciplinary teams
  • Bachelor's degree in healthcare, quantitative discipline, or related field
  • Experience with clinical and utilization management programs for specialty care
  • Experience working with unstructured EMR/EHR data
  • Familiarity with AWS Athena and SageMaker
  • Master's degree in healthcare or a quantitative field

What the Team is Saying

Kenji
Saranya
Emma
Brad
Jayna
Margot Hendrickson
Rachel Rabinowitz
Margot Hendrickson
Michelle Ford
Brad Smertz
Ben Barone
Brad Smertz
Kenji Fujita
Kenji Fujita
Therese Gorski
Sujata Patil
Therese Gorski
Kenji Fujita
Emma Nien
Gigi Yuen-Reed
Jason Ehule

Cohere Health Compensation & Benefits Highlights

  • Healthcare Strength Core coverage includes medical, dental, and vision insurance alongside life and disability and an EAP, with plan documents confirming a Blue Cross Blue Shield PPO option. Feedback suggests the breadth of coverage and employer-sponsored structure align with modern health‑tech norms.
  • Leave & Time Off Breadth PTO accrues to about 184 hours per year plus 10 company holidays, which is generous for U.S. standards. Feedback suggests this time-off structure supports work-life balance for many roles.
  • Parental & Family Support Up to 14 weeks of paid parental leave is publicly stated, with additional family supports like adoption assistance noted in third‑party listings. Feedback suggests these policies are a meaningful strength for caregivers.

Cohere Health Insights

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The Company
HQ: Boston, MA
900 Employees
Year Founded: 2019

What We Do

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs. Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.

Why Work With Us

Cohere Health brings together a community of healthcare and technology team members, passionate about changing the challenging parts of healthcare. If you enjoy solving challenging problems and learning about healthcare, then Cohere Health is a great career choice.

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Cohere Health Offices

Remote Workspace

Employees work remotely.

Cohere employees work from 45 different states throughout the US - Cohere hosts retreats at our headquarters in Boston. ZignaAI, a Cohere Health Company, employees based in Hyderabad, India, work in-office 5 days a week.

Typical time on-site:
HQBoston, MA
Hyderabad, Telangana
Learn more

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