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Cohere Health in the United States is seeking a lead-level Customer & Solutions analyst who partners with health plans to set up and tune automated decisions for prior authorization requests. This client-facing role requires a long track record of working with clients, strong knowledge of healthcare workflows and terminology, and the ability to turn client needs into actionable plans for engineers.
You will pair SQL and dashboard skills with the talent to explain results to both technical and
This role is a client-facing analyst who helps health plans set up and tune automated decisions for prior authorization requests. It calls for a long record of working with clients, solid knowledge of healthcare workflows and terminology, and comfort turning client needs into clear plans for engineers. A strong candidate pairs SQL and dashboard skills with the ability to explain results to both technical and non-technical people.
AI handles much of the approval decision work here, so the analyst's job shifts toward measuring how well automation performs, finding where it can safely reach more requests, and guiding clients through changes. Judgment about clinical context, data ethics, and client trust stays with people, along with deciding what a good result looks like for patients.
The role offers hands-on exposure to an AI platform that auto-approves a large share of prior authorization requests for health plans, including how performance is tracked and improved over time. Someone can build toward it by practicing with healthcare claims or authorization data, learning how automation rates and accuracy are measured, and following how responsible AI is used in coverage decisions.
This is our own read, written from the employer's posting and the company's Spotlight. The employer's posting is the source of truth for the role.
An AI platform that, according to the company, lets health plans auto-approve most prior authorization requests instead of making doctors wait for a human reviewer.