Cohere Health

We’re a clinical intelligence company founded in 2019, specializing in software development. We provide intelligent prior authorization, utilization management (UM), and payment integrity (PI) solutions. Our primary goal is to align physicians and health plans on evidence-based care paths, reducing administrative expenses and improving patient outcomes throughout the patient’s care journey. Our clinically trained AI platform, Cohere Unify™, streamlines collaboration between payers and providers.

For utilization management, we offer solutions that automate prior authorizations for up to 90% of care needs. These solutions improve care decision accuracy with 50% faster reviews and 30% more accurate decisions. They also help manage medical expense risk with up to 15% incremental savings. We deliver these solutions as a platform, a service, or through CMS-0057-F compliant APIs, including CRD, DTR, and PAS APIs.

In payment integrity, our solutions automate workflows, increase audit accuracy, and optimize cost recovery. Our offerings include Cohere Validate, an AI-powered solution for complex coding and clinical audits. Cohere Complete for PI provides end-to-end services that often exceed what traditional audit vendors offer. Cohere Match is our proprietary reconciliation solution designed to prevent overpayments by identifying authorization mismatches before payment. These solutions can achieve an 8-9x return on investment through streamlined processes, a 30% increase in auditor efficiency, and a 14% improvement in hit rate.

We’ve won the TripleTree iAward and have been named to Fierce Healthcare’s Fierce 15 and CB Insights’ Digital Health 150 lists. We hold HITRUST certification and NCQA accreditation for utilization management. Our investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.

Our mission is to simplify healthcare. We enable patients, physicians, and health plans to efficiently collaborate on getting the right care at the right time, place, and value. We envision a world where patients, their healthcare providers, and health plans are aligned on an optimal care path, aiming for the best possible outcomes at the lowest possible cost with minimal administrative effort.

We operate by the following core values:

• Purpose drives performance: We combine science, technology, and expertise to guide patient outcomes and experiences.
• Rethink the status quo: We’re committed to simplifying healthcare, breaking down silos, and building more efficient collaborative processes.
• Embrace humility: We learn with intent, ask questions, adapt, and embrace ambiguity.
• Connect, collaborate, cohere: We respect and trust the insights and intelligence of our collaborators.

We employ 501-1000 individuals, a team of doctors, nurses, analysts, engineers, product experts, and designers. We operate with a remote-friendly and hybrid work model. Our employees are located across 47 U.S. states and India, collectively fluent in over a dozen languages.

We’ve been recognized for our workplace culture, named one of Built In’s ‘Best Places to Work’ for multiple years, and listed among LinkedIn’s ‘Top Startups’. We also received the KLAS Points of Light Award for payer-provider collaboration.

We foster a culture built on kindness, thoughtfulness, and innovation, driven by a shared mission to improve healthcare. We encourage employees to own high-impact projects, collaborate cross-functionally, and engage in continuous learning and professional growth. We’re committed to building an inclusive organization and support several Employee Resource Groups (ERGs), such as Professional Development at Cohere, Black at Cohere, CoQueer: LGBTQ+ Support Group & Allies, Women at Cohere, Caregivers at Cohere, and Cohere’s Compassion Club.

We offer a range of employee benefits and perks, including:

• Medical, dental, and vision insurance
• Life and disability insurance
• Employee Assistance Program
• Flexible spending and health savings account
• 401(K) retirement plan with employer match
• Up to 184 hours (23 days) of PTO per year, plus company holidays
• Up to 14 weeks of paid parental leave
• Learning and development opportunities
• Pet insurance
• Bonus as part of total compensation