Director, Analytics and Insights

Summary

Join Cohere Health, a rapidly growing clinical intelligence company, as an Analytics Leader. Lead a team of data analysts and clinical informatics leads, collaborating with clinicians, data scientists, and actuaries. You will oversee key performance indicators (KPIs), manage task pipelines, and ensure timely project completion. This role requires deep understanding of Cohere's clinical content and healthcare data analysis. You will be responsible for maintaining high clinical analytics standards, identifying program opportunities, and communicating complex analyses to diverse audiences. The ideal candidate possesses extensive healthcare data knowledge, strong analytical and communication skills, and experience managing teams in a fast-paced environment.

Requirements

• Minimum 6 years of professional experience in healthcare industry (payer, provider, consulting), with demonstrated quantitative analytical and critical thinking skills
• Minimum of 3 years in a managerial role
• Extensive knowledge of healthcare data, including medical claims, pharmacy claims, prior authorization and member eligibility data
• Demonstrated passion for improving the U.S. healthcare system and ensuring that every patient receives the highest quality care possible
• Proven ability to work independently and thrive in a dynamic, fast-paced start-up environment, leading cross-functional teams to meet tight deadlines
• Exceptional communication skills, with the ability to present complex data insights to non-technical stakeholders
• Advanced expertise in clinical terminologies such as ICD-10, CPT, HCPCS, LOINC, SNOMED, and NDC
• Expertise in statistical analysis and methodologies, including hypothesis testing, regression analysis, and multivariate analysis
• Proficiency in programming languages such as Python, R, or SAS for data analysis, automation, and model development

Responsibilities

• Deeply understand Cohere’s clinical content, products, services and clinical programs and how Cohere’s solutions intersect with healthcare providers’ workflow and patients’ care journey
• Direct a team of data analysts and clinical informatics leads, ensuring high collaboration with clinicians, program leaders, data scientists, and actuaries to deliver insights for data-driven clinical programs
• Oversee key performance indicators (KPIs) for the team, manage task pipelines, and ensure timelines are met
• Maintain high clinical analytics standards and develop methodologies, and processes to ensure quality control, documentation, and productization in support of clinical programs
• Identifying, prioritizing, and evaluating program opportunities using both qualitative and quantitative methods to enhance financial trends, care quality, and patient experience
• Defining target populations for analysis, along with outcome and success metrics
• Ongoing evaluation of claims trends and clinical program pilots to uncover insights and refine future initiatives
• Ensuring data integrity, accuracy and security in all analytics processes
• Provide technical and subject matter expertise on healthcare data analysis, including medical claims, pharmacy data, and eligibility data
• Represent the team’s work and insights to both internal and external stakeholders, effectively communicating complex technical analyses to diverse audiences
• Guide the professional and technical growth of your team through regular feedback, KPI tracking, and personalized development plans
• Collaborate closely with clinicians, data scientists, and program leaders to provide actionable insights that shape clinical programs and improve patient outcomes

Preferred Qualifications

• Familiarity with quality measures (HEDIS, MIPS, IQR, NQF) and care management processes is a plus
• Master’s Degree in Public Health, Health Policy, Biostatistics, or Health Economics preferred

Benefits

• Health insurance
• 401k
• Bonus