Lead Data Scientist- Fraud, Waste & Abuse
Cohere HealthUnited States
Posted October 2, 2025
148000 - 168000 USD year
Full Time
About the Company
Cohere Health is a clinical intelligence company that streamlines prior authorization processes to enhance patient outcomes by aligning evidence-based care paths with physicians and health plans. Their intelligent solutions reduce administrative costs while improving quality, earning recognition through awards and inclusion in top industry lists. Cohere's investors include notable firms such as Flare Capital Partners and Define Ventures.
Job Description
Cohere Health is seeking innovative individuals to join their data science team and drive strategic insights related to healthcare fraud, waste, and abuse. The role involves identifying, investigating, validating, and preventing fraudulent activities, utilizing various data sources. This position offers the opportunity to work with a growing organization and make a substantial impact on company growth and patient outcomes.
Requirements
- MSc or higher degree in a data science/analytics, statistics, mathematics, engineering related field
- 7+ years hands-on data science experience at a critical healthcare health outcome performance organization.
- Expert in data mining in the healthcare insurance industry and claims.
- Knowledge of the law and regulations related to FWA investigations.
- Proficiency in data mining/data analysis methods using tools like Python, PySpark, Scala and Spark SQL.
- Strong communication skills, data visualization, and presentation abilities.
Benefits
- Medical, dental, vision, life, disability insurance
- Employee Assistance Program
- 401K retirement plan
- Paid parental leave
- Pet insurance
