Sr. Director, Clinical Analytics

Sr. Director, Clinical Analytics

This job is no longer open

Company Overview:

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctors office.  Founded in August 2019, we are obsessed with eliminating wasteful friction patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved so that patients and doctors can focus on health, rather than payment or administrative hassles.

Opportunity Overview:

This is an excellent opportunity for an outstanding analytics leader. You will lead a team of data analysts and clinical informatics leads, and you will work closely with clinicians, clinical program leaders, data scientists, and actuaries to support data-driven clinical program and pilot design, monitoring, reporting, evaluation, and actionable insights. The trend monitoring and program analytics your team produces enable the overall efficacy and continuous improvement of clinical programs that improve a) payor/provider/patient collaboration through utilization management and care management process, b) quality of care and patient outcomes, and c) healthcare utilization and spending efficiency.  

Last but not least: People 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.

What you will do:

  • 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. 
  • Lead a team of data analysts and clinical informatics leads and work closely with clinicians, clinical program leaders, data scientists, and actuaries to support data-driven clinical program and pilot design, monitoring, reporting, evaluation, and actionable insights. 
    • Team KPIs, task pipeline and timeline
    • Individual team member KPIs, performance and growth plans, work pipeline and timeline 
    • Streamlined collaboration process between clinical informatics leads and analysts, as well as with clinical programs leaders.  
  • Primarily responsible for 
    • Setting clinical analytics standards, key methodology and process (including QC, documentation and productization), in order to support clinical programs from the following perspectives:
      • Identify, prioritize and evaluate program opportunities using qualitative and quantitative and methods to improve financial trend, quality, and patient experience
      • Identify target patient and provider populations for analyses 
      • Define outcome and success metrics 
      • Ongoing evaluation of clinical program pilots to surface insights for new program opportunities and refine targets 
    • Team’s deliverable timeline and quality and accuracy of the output
    • Representing team’s work and insights in front of internal and external stakeholders
    • People management and providing technical and professional mentorship 
    • Providing SME guidance for technical analytical and programing skills and knowledge of common data assets such as Medical claims and enrollment files

Your background and requirements:

  • Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible.
  • Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment
  • Strong written and verbal communication skills
  • Minimum 10 years of professional experience in healthcare industry (payer, provider, consulting), with demonstrated quantitative analytical and critical thinking skills
  • Minimum of 5 years in a managerial role
  • In-depth knowledge of medical claims, pharmacy, and eligibility data
  • Advanced knowledge of clinical terminologies (e.g., ICD-10, CPT, HCPCS, LOINC, SNOMED, NDC. 
  • Experience with quality measures (e.g., HEDIS, MIPS, IQR, NQF) and care management is a plus
  • Advanced knowledge of observational data analysis methodology (e.g., pre- and post-, quasi-experimental design, difference in differences) 
  • Advanced knowledge of analytical and programing languages, SQL and python required  
  • In-depth knowledge of task/timeline management tools, e.g., JIRA
  • Master’s Degree in Public Health, Health Policy, Biostatistics, or Health Economics preferred.  

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.

 

 

 

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This job is no longer open
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