
201 - 500 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Cohere Health is a company focused on transforming the prior authorization process in healthcare using advanced technologies. The company offers the Cohere Unify™ Platform, which includes artificial intelligence and machine learning capabilities to improve utilization management (UM) and facilitate quicker access to patient care. By digitizing the prior authorization process and integrating with electronic medical records, Cohere Health aims to enhance the quality of healthcare outcomes and reduce the administrative burden on providers. Their solutions help decrease denial rates and adverse outcomes through evidence-based intelligence and real-time clinical suggestions. Cohere Health's offerings are available as Platform as a Service (PaaS) or as fully outsourced solutions.
🔥 2 hours ago
🇺🇸 United States – Remote
💵 $105k - $120k / year
⏰ Full Time
🟠 Senior
🧐 Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 0%
Where this job comes from
Posted on Cohere Health's careers page, not through a job board
First seen by Remote Rocketship 2 hours ago
Still open on Cohere Health's site. Checked 2 hours ago.

201 - 500 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Cohere Health is a company focused on transforming the prior authorization process in healthcare using advanced technologies. The company offers the Cohere Unify™ Platform, which includes artificial intelligence and machine learning capabilities to improve utilization management (UM) and facilitate quicker access to patient care. By digitizing the prior authorization process and integrating with electronic medical records, Cohere Health aims to enhance the quality of healthcare outcomes and reduce the administrative burden on providers. Their solutions help decrease denial rates and adverse outcomes through evidence-based intelligence and real-time clinical suggestions. Cohere Health's offerings are available as Platform as a Service (PaaS) or as fully outsourced solutions.
• Serve as a subject-matter expert for healthcare interoperability and payer prior authorization integrations • Lead analysis and definition of data exchanges between the Cohere platform and payer, provider, and third-party systems • Lead client-facing integration discovery and requirements-gathering sessions • Translate payer and provider workflows into clear technical specifications • Design scalable, reusable integration workflows using APIs, HL7 FHIR, HL7 v2, X12 EDI, SFTP, flat files, and other data-exchange methods • Produce source-to-target mappings, interface specifications, data-flow diagrams, field definitions, validation rules, and error-handling requirements • Manage integration analysis across up to three concurrent client initiatives, tracking risks, dependencies, decisions, and open issues • Investigate integration failures and coordinate root-cause analysis across technical teams • Review payloads, files, logs, and system behavior to resolve data-quality issues • Develop test scenarios and support unit, integration, end-to-end, regression, and production-readiness testing • Partner with Product, Engineering, Data, Solution Architecture, Implementation, and Client Success teams • Support clients through implementation, activation, launch, and steady-state operations • Provide mentorship and guidance to less-experienced analysts • Contribute to improving integration standards, documentation, and delivery processes
• 5+ years of experience analyzing, defining, implementing, or supporting healthcare integrations, ideally including prior authorization experience • Experience leading complex healthcare integration initiatives from discovery through testing and production readiness • Hands-on experience with REST APIs, JSON, XML, SFTP, and flat-file integration patterns • Experience with healthcare interoperability standards such as HL7 FHIR and HL7 v2; X12 EDI a plus, not required • Working knowledge of payer workflows such as prior authorization, eligibility, claims, provider data, or utilization management • Experience creating source-to-target mappings, interface specifications, workflow diagrams, test scenarios, and acceptance criteria • Technical design experience, specifically around integration solutions • Strong client-facing communication and facilitation skills, with the ability to explain technical topics to both technical and nontechnical audiences • Ability to manage multiple client initiatives in a fast-paced environment with evolving requirements • Experience collaborating cross-functionally with engineering, product, implementation, and data teams
• Fully remote opportunity with about 10% travel • Medical, dental, vision, life, disability insurance, and Employee Assistance Program • 401K retirement plan with company match • Flexible spending and health savings account • Flex Time Off + company holidays • Up to 14 weeks of paid parental leave • Pet insurance • Bonus included in total benefits package
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