The Client Support Specialist is responsible for investigating, triaging, and resolving technical product bugs while maintaining clear communication with stakeholders. They will monitor bug trends and collaborate with cross-functional teams to improve support processes and ensure high-quality service.
Cohere Health
44 Remote Job Openings at Cohere Health
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in reimbursement and identify overpayments. Prepare clear, well-supported audit findings while maintaining compliance with industry regulations and company standards.
The Senior Workforce Management Analyst will optimize service and clinical operations by managing the WFM platform and aligning staffing levels with strategic goals. They will drive process improvements, conduct ROI modeling, and provide actionable data insights to support operational performance.
The Staff Software Engineer will lead the design, development, and scaling of AI-powered healthcare payment solutions while mentoring junior engineers. They will drive technical strategy, ensure operational readiness, and collaborate across cross-functional teams to deliver high-quality, performant software.
The VP of Payer Sales will develop and execute strategies to drive revenue growth and expand market presence across the Western U.S. region. They will lead and mentor a sales team while cultivating high-level relationships with key stakeholders at payer organizations.
Lead an agile team in designing and scaling resilient healthcare integration systems and distributed architectures. Drive technical excellence by mentoring engineers and partnering cross-functionally to deliver secure, high-performing enterprise solutions.
Inpatient Program Strategy & Execution Manager
Cohere Health
·
Full Time
·
14 days ago
Cohere Health
The manager will own the end-to-end delivery and strategy of the inpatient platform across multiple health plan clients. They will coordinate cross-functional efforts between Product, Engineering, Clinical Operations, Analytics, and Client Experience to ensure successful program execution and value realization.
The Senior Integration Analyst will lead the technical analysis and design of complex healthcare interoperability solutions between the Cohere platform and external systems. They will manage client-facing integration discovery, define technical specifications, and coordinate cross-functional teams to ensure reliable data exchange and system performance.
The Senior Clinical Informaticist will bridge clinical expertise and data science to design and validate digital health solutions. They will lead ontology mapping, terminology management, and ensure the integrity of AI-driven healthcare tools.
The Lead Client Analyst will consult with PaaS clients to design and execute automation programs while translating complex requirements into technical blueprints. They will also analyze authorization data to drive platform performance and ensure client KPIs are met throughout the customer lifecycle.
Manage and mentor a team of analysts while consulting PaaS clients on designing and executing optimal decision automation programs. Partner with cross-functional teams to translate complex client requirements into technical blueprints and ensure platform performance meets key KPIs.
The specialist will configure and maintain medical coverage policies within the platform to ensure compliance and clinical accuracy. They will also collaborate with cross-functional teams to optimize policy implementation and address internal and external customer inquiries.
Draft and refine patient-facing adverse determination communications to ensure they are clear, accurate, and compliant with regulatory standards. Collaborate with clinicians and policy experts to translate complex medical information into human-centered language while maintaining consistency across all documentation.
The Lead RN Reviewer provides supervision, coaching, and training to the nursing staff to ensure performance metrics and quality standards are met. They also coordinate day-to-day operations, handle case escalations, and assist with quality improvement initiatives.
The Senior Director will lead executive relationships with major health plan clients to drive long-term account growth and retention. They will serve as an internal executive sponsor, collaborating across departments to ensure client success and identify expansion opportunities.
Lead end-to-end implementation efforts for new and existing customers while managing cross-functional teams to ensure successful delivery. Establish implementation strategies and refine best practices to create a scalable, repeatable model for future client onboarding.
The Medical Policy Writer will draft, refine, and finalize medical policy documents based on current scientific evidence and clinical best practices. They will also partner with clinical leadership to ensure policy compliance with CMS guidelines and maintain the policy repository.
Own end-to-end technical integration design and execution for enterprise healthcare customers from pre-sales through production. Design system architectures that bridge customer IT environments with Cohere's AI-first platform while building reusable integration patterns.
Strategic Medical Director, Diagnostic Imaging
Cohere Health
·
Full Time
·
a month ago
Cohere Health
Lead the vision and evolution of clinical and digital care management offerings in Diagnostic Imaging as a subject matter expert. Collaborate cross-functionally to design innovative clinical programs and support growth efforts through client-facing strategic discussions.
Perform medical reviews to determine the appropriateness of cardiology services using evidence-based guidelines. Document clinical decisions accurately within workflow tools and collaborate with teammates to improve operational efficiency.
Lead the vision and evolution of clinical and digital care management offerings as a subject matter expert in General Medicine. Collaborate with cross-functional teams and clients to design innovative clinical programs and support go-to-market growth efforts.
Strategic Clinical Director, Speech Language Pathology
Cohere Health
·
Full Time
·
a month ago
Cohere Health
Lead the vision and evolution of clinical and digital care management offerings in Speech Pathology as a subject matter expert. Collaborate cross-functionally to design innovative clinical programs and support growth efforts through client-facing strategic discussions.
Lead the coordination and delivery of compliance and regulatory reporting initiatives by partnering with Compliance, Business Intelligence, and Operations teams. Manage the end-to-end reporting workflow, including requirements gathering, prioritization, and validation of recurring and ad hoc reports.
Perform prospective, concurrent, and retrospective medical necessity reviews to ensure cost-effective and high-quality care. Collaborate with Medical Directors and providers to align on clinical decisions and document reviews according to established protocols.
Maintain the availability and resilience of AWS-hosted healthcare systems and MERN stack applications. Balance time between live incident remediation, data pipeline operations, and engineering automated solutions to eliminate operational toil.
The Business Analyst II will partner with stakeholders to gather requirements and translate business needs into technical user stories for data product development. They will perform data analysis and validation using SQL to ensure the quality and reliability of the data ecosystem.
Design and validate data mapping and integration solutions to power payment integrity products. Serve as a subject matter expert by mentoring analysts and partnering with stakeholders to ensure data accuracy and scalability.
Lead the technical design and end-to-end delivery of features and platform enhancements for a cloud-based healthcare platform. Mentor junior engineers and collaborate with product and design teams to ensure high-quality user experiences.
Lead and grow a distributed engineering team to build scalable AI platforms, agents, and data architectures for health insurance plans. Partner with cross-functional teams to translate business needs into technical solutions while ensuring HIPAA compliance and operational excellence.
Conduct comprehensive professional and facility coding reviews to ensure accuracy in code assignment and reimbursement. Identify overpayments and craft well-supported audit findings based on AHA Coding Clinic Guidelines and regulatory standards.
Conduct comprehensive professional and facility coding reviews to ensure accuracy in code assignment and maximize overpayment identification. Utilize advanced DRG encoder tools and industry guidelines to craft well-supported audit findings and maintain compliance.
Oversee and develop a team of RN Reviewers to ensure performance metrics and quality standards are met. Manage daily operational activities, including productivity reports, timeliness tracking, and process efficiency improvements.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accurate reimbursement and identify overpayments. Create well-supported audit findings based on AHA Coding Clinic Guidelines and ICD-10 regulations while maintaining high quality and productivity standards.
Senior Software Engineer, Client Implementations
Cohere Health
·
Full Time
·
2 months ago
Cohere Health
Build and operate mission-critical healthcare technology across the full stack, including backend services and provider-facing web applications. Lead epic-level efforts from technical design through production deployment while mentoring other engineers.
Conduct medical necessity reviews and prepare compliant clinical determinations and correspondence for members and providers. Collaborate with Medical Directors to ensure evidence-based decisions align with regulatory and accreditation standards.
Strategic Medical Director, PM&R / Post-Acute Care & DME
Cohere Health
·
Full Time
·
3 months ago
Cohere Health
Lead the vision and design of clinical and digital care management programs as a subject matter expert in PM&R and post-acute care. Collaborate with growth and product teams to evangelize the company's vision to clients and optimize clinical delivery services.
Conduct quantitative analyses on healthcare costs and clinical outcomes to optimize auto-decisioning strategies and product performance. Develop reporting solutions and data visualizations to provide actionable insights for internal stakeholders and clients.
Lead the design and evolution of clinical and digital care management offerings as a subject matter expert. Collaborate with growth and product teams to align clinical strategy with client needs and drive go-to-market efforts.
The Medical Director will lead the vision and evolution of clinical and digital care management offerings while serving as a subject matter expert. They will collaborate cross-functionally to drive clinical strategy, support growth initiatives, and manage client relationships to ensure effective program delivery.
Staff Software Engineer - Platform Engineering
Cohere Health
·
Full Time
·
4 months ago
Cohere Health
Lead the development of scalable, reliable platform infrastructure while driving deployment and release strategies to improve speed and safety. Partner cross-functionally to establish observability and SRE practices while mentoring teams on platform and reliability best practices.
Associate Medical Director, Orthopedic Surgery
Cohere Health
·
Full Time
·
7 months ago
Cohere Health
Physicians will deliver on musculoskeletal and orthopedic programs by determining the medical appropriateness of services through clinical review and application of evidence-based guidelines. Key duties include providing timely medical reviews, accurately documenting decisions, and conducting peer-to-peer discussions with treating providers.
Design, build, and deploy advanced machine learning systems for various use cases while collaborating with cross-functional teams. Lead model development across the ML lifecycle and drive experimentation tied to business outcomes.
The Associate Medical Director will review clinical information and apply evidence-based guidelines to determine the medical appropriateness of services within Cohereβs Cardiology program. This role involves providing expert input on clinical decision guidelines and conducting peer-to-peer discussions with treating providers.
The Senior Business Analyst will support the execution and continuous improvement of clinical programs by providing data, documentation, and process discipline. This role involves transforming program strategy into deliverables such as dashboards and performance reports to ensure program success.