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The Senior Manager of Data Management is responsible for overseeing the Cohere data supermarket, managing business and data analysts, designing data use capabilities, implementing automated ETL processes, and ensuring data accuracy in a big data environment, while working collaboratively with stakeholders to enhance operational efficiency.
As a Senior Inpatient UM Nurse Auditor, you will audit acute inpatient authorizations, analyze audit patterns to improve clinical review, and collaborate on automation algorithms. You will leverage your extensive experience to ensure quality in the authorization process, synthesizing findings into actionable insights.
As a Business Intelligence Engineer, you will work with stakeholders to understand reporting needs, optimize existing reports, ensure data quality, and perform data analysis to support decision-making. You will leverage your expertise in healthcare data and BI tools to enhance insights and contribute to the company's mission of improving healthcare outcomes.
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The Associate Medical Director will provide expert input on clinical decision guidelines, conduct medical reviews, document decisions, and engage in peer discussions to clarify clinical information, ensuring high-quality patient outcomes.
The Physician Clinical Reviewer will assess the appropriateness of medical services in gastroenterology and surgery, review clinical information, apply evidence-based guidelines, and ensure quality and timeliness in medical reviews. Responsibilities also include documenting decisions, communicating with providers, and supporting operational improvements.
The Physician Clinical Reviewer in Cardiology will evaluate the medical appropriateness of services, review clinical information, and apply evidence-based guidelines. Responsibilities include conducting peer-to-peer discussions, providing expert input, and documenting decisions accurately in workflow tools, while supporting the clinical development team and participating in operational improvements.
The Physician Clinical Reviewer role at Cohere Health involves reviewing clinical information, determining medical appropriateness, and providing evidence-based decisions in diagnostic imaging. It requires collaborating with the clinical content team, engaging in peer discussions, and documenting decisions clearly while adhering to quality and timeliness standards.
The Clinical Programs Manager, Cardiology will develop and optimize clinical programs, lead pilot launches for new clients, ensure clinical integrity in collaboration with Medical Directors, and communicate progress to stakeholders. This role requires strong organizational skills and the ability to manage multiple projects effectively.
As a Machine Learning co-op, you'll work on developing and deploying machine learning algorithms to automate administrative clinical practices. You'll be part of an agile team, contributing to feature design, testing, and delivery of ML models, while collaborating with various stakeholders.
The Associate Medical Director will review clinical information to determine the medical appropriateness of services, support clinical content teams, and provide medical reviews and decision-making based on evidence-based guidelines to improve patient outcomes.
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