Cohere Health is hiring a
Trend Innovation Specialist

Summary

The job is for a Trend Innovation Specialist at Cohere Health, a fast-growing clinical intelligence company. The role involves analyzing clinical policies and guidelines to drive cost-effective care, performing literature searches, preparing presentations, collaborating with teams, and assisting the actuarial team.

Requirements

• Bachelor's degree in healthcare or analytics related field with a Master’s degree or higher in a healthcare-related field (nursing, health services research, public health, HEOR, clinical informatics) strongly preferred
• 1-2+ years of experience working for a payer or multi-specialty provider organization, or comparable experience with a healthcare technology or managed services vendor
• Experience with evidence-based care guidelines (i.e., MCG, InterQual)
• Familiarity with medical coding and standardized clinical terminologies (e.g., ICD-10, CPT, HCPCS, LOINC, SNOMED)
• Working knowledge of data science and machine learning methods
• Exceptional communication skills and a keen ability for translating technical requirements to a less technical audience
• Analytical thinker with superior problem-solving skills and attention to detail
• Ability to thrive in fast-paced start-up environment
• Ability to work both collaboratively and independently in a remote work environment with minimal supervision
• Avid learner with adaptable knowledge base to accommodate frequent changes in clinical guidelines and data requirements

Responsibilities

• Monitor and analyze clinical policies and guidelines to quantify opportunities to drive more appropriate, cost-effective care
• Perform literature searches, review quality measurement organization portfolios, and monitor industry news on an ongoing basis to detect healthcare trends, key drivers and root causes, and ideas for innovative interventions
• Prepare client-ready presentations to clearly summarize analysis results and recommendations
• Analyze policy and legislative initiatives at the state and national level to assess impact on healthcare utilization, cost, quality, and the patient/provider experience
• Collaborate with clinical SMEs, Trend Innovation Leads and operations specialists to identify observation-driven trend opportunities
• Provide insight to data scientists in surfacing meaningful data-driven insights through benchmarking, trend analysis, low value care detection, and patient/provider analytics
• Assist actuarial team with building models to estimate and validate savings projections
• Define additional objectives, key results, and early indicators
• Create reports and clearly communicate findings and prioritized recommendations to key stakeholders
• Partner with Clinical Programs and Product teams to monitor forward-thinking pilot programs to impact validated opportunities

Benefits

The salary range for this position will be $80,000-$100,000; as part of a total benefits package which includes health insurance, 401k and bonus