Cohere Health

Clinical Policy Configuration Specialist

Cohere Health · Full Time · 5 hours ago

Cohere Health

🌎 United States 💵 $65000 - $80000 per year ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Medical Patient Language Writing Specialist

Cohere Health · Full Time · 6 hours ago

Cohere Health

🌎 United States 💵 $85000 - $92000 per year ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Lead RN Reviewer

Cohere Health · Full Time · 2 days ago

Cohere Health

🌎 United States 💵 $35 - $37 per hour ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Senior Director, Strategic Accounts

Cohere Health · Full Time · 3 days ago

Cohere Health

🌎 United States 💵 $196K - $230K per year ⭐ 10+ yrs exp 💼 Sales

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.

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Implementation Director

Cohere Health · Full Time · 3 days ago

Cohere Health

🌎 United States 💵 $160K - $180K per year ⭐ 10+ yrs exp 💼 Others

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.

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Medical Policy Writer

Cohere Health · Full Time · 3 days ago

Cohere Health

🌎 United States 💵 $80000 - $100K per year ⭐ 2-5 yrs exp 💼 Writing

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.

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Sr. Forward Deployed Engineer

Cohere Health · Full Time · 8 days ago

Cohere Health

🌎 United States 💵 $135K - $155K per year ⭐ 5-10 yrs exp 💼 Software Development

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.

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Strategic Medical Director, Diagnostic Imaging

Cohere Health · Full Time · 8 days ago

Cohere Health

🌎 United States 💵 $285K - $305K per year ⭐ 10+ yrs exp 💼 Healthcare

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.

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Clinical Reviewer, Physician Assistant

Cohere Health · Full Time · 9 days ago

Cohere Health

🌎 United States 💵 $120K - $135K per year ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Strategic Medical Director, General Medicine

Cohere Health · Full Time · 10 days ago

Cohere Health

🌎 United States 💵 $285K - $305K per year ⭐ 10+ yrs exp 💼 Healthcare

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.

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Strategic Clinical Director, Speech Language Pathology

Cohere Health · Full Time · 10 days ago

Cohere Health

🌎 United States 💵 $84 - $94 per hour ⭐ 10+ yrs exp 💼 Healthcare

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.

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Payment Selections Manager (Inpatient/DRG)

Cohere Health · Full Time · 10 days ago

Cohere Health

🌎 United States 💵 $110K - $122K per year ⭐ 10+ yrs exp 💼 Others

Drive the identification and recovery of improper claim payments by developing automated auditing algorithms and technical specifications. Serve as a subject matter expert on inpatient coding and reimbursement to ensure financial accuracy for payer clients.

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Commercial Counsel

Cohere Health · Full Time · 10 days ago

Cohere Health

🌎 United States 💵 $120K - $160K per year ⭐ 5-10 yrs exp 💼 Legal

Draft, review, and negotiate a high volume of commercial agreements including SaaS, MSAs, and vendor contracts. Partner with Sales and cross-functional teams to provide business-focused legal guidance and manage contractual risks.

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Compliance Reporting Program Manager

Cohere Health · Full Time · 11 days ago

Cohere Health

🌎 United States 💵 $110K - $125K per year ⭐ 10+ yrs exp 💼 Product

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.

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RN Reviewer

Cohere Health · Full Time · 11 days ago

Cohere Health

🌎 United States 💵 $33 - $35 per hour ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Site Reliability Engineer ll

Cohere Health · Full Time · 14 days ago

Cohere Health

🌎 United States 💵 $100K - $110K per year ⭐ 2-5 yrs exp 💼 Software Development

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.

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Business Analyst II

Cohere Health · Full Time · 18 days ago

Cohere Health

🌎 United States 💵 $70000 - $85000 per year ⭐ 2-5 yrs exp 💼 Software Development

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.

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Senior Data Integration Analyst

Cohere Health · Full Time · 24 days ago

Cohere Health

🌎 United States 💵 $105K - $120K per year ⭐ 5-10 yrs exp 💼 Software Development

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.

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Lead Software Engineer

Cohere Health · Full Time · 25 days ago

Cohere Health

🌎 United States 💵 $155K - $175K per year ⭐ 5-10 yrs exp 💼 Software Development

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.

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Senior Manager, AI

Cohere Health · Full Time · a month ago

Cohere Health

🌎 United States 💵 $220K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

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.

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Software Engineer ll, Data Platform

Cohere Health · Full Time · a month ago

Cohere Health

🌎 United States 💵 $110K - $120K per year ⭐ 2-5 yrs exp 💼 Software Development

Design, build, and maintain scalable data pipelines for ingesting and transforming data from various sources. Collaborate with cross-functional teams to deliver production-ready data products and ensure platform reliability through monitoring and on-call support.

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Claims Auditor

Cohere Health · Full Time · a month ago

Cohere Health

🌎 India ⭐ 2-5 yrs exp 💼 Finance

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.

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Lead Claims Auditor (QC)

Cohere Health · Full Time · a month ago

Cohere Health

🌎 India ⭐ 10+ yrs exp 💼 Finance

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.

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RN Supervisor

Cohere Health · Full Time · a month ago

Cohere Health

🌎 United States 💵 $85000 - $95000 per year ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Senior DRG Auditor (Disputes)

Cohere Health · Full Time · a month ago

Cohere Health

🌎 United States 💵 $85000 - $100K per year ⭐ 5-10 yrs exp 💼 Finance

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.

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Medical Reviewer, PA

Cohere Health · Full Time · a month ago

Cohere Health

🌎 United States 💵 $120K - $135K per year ⭐ 2-5 yrs exp 💼 Healthcare

Perform medical reviews to determine the appropriateness of musculoskeletal and orthopedic services using evidence-based guidelines. Document clinical decisions accurately within workflow tools and collaborate with a multidisciplinary review team.

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Senior Software Engineer, Client Implementations

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $128K - $145K per year ⭐ 5-10 yrs exp 💼 Software Development

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.

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Payer Strategy Director

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $180K - $190K per year ⭐ 5-10 yrs exp 💼 Others

Lead the strategic process to help health plan prospects develop business cases for utilization management transformation. Partner with executives to advise on market trends and serve as a subject matter expert during sales demonstrations to drive growth.

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Medical Director Spine Surgery

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $260K - $280K per year ⭐ 5-10 yrs exp 💼 Healthcare

Perform medical reviews and clinical determinations for musculoskeletal and orthopedic programs using evidence-based guidelines. Conduct peer-to-peer discussions with providers to explain review outcomes and document decisions within workflow tools.

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Clinical Review & Correspondence RN

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $31 - $35 per hour ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Strategic Medical Director, PM&R / Post-Acute Care & DME

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $285K - $305K per year ⭐ 10+ yrs exp 💼 Healthcare

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.

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Healthcare Analyst II

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $85000 - $92000 per year ⭐ 2-5 yrs exp 💼 Healthcare

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.

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Claims Auditor

Cohere Health · Full Time · 2 months ago

Cohere Health

🌎 United States 💵 $72000 - $82000 per year ⭐ 2-5 yrs exp 💼 Finance

Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in reimbursement and identify overpayments. Create well-supported audit findings based on AHA Coding Clinic Guidelines and ICD-10 regulations.

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Medical Director Clinical Strategy, MSK

Cohere Health · Full Time · 3 months ago

Cohere Health

🌎 United States 💵 $250K - $300K per year ⭐ 10+ yrs exp 💼 Healthcare

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.

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Medical Director Clinical Strategy

Cohere Health · Full Time · 3 months ago

Cohere Health

🌎 United States 💵 $250K - $300K per year ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Staff Software Engineer - Platform Engineering

Cohere Health · Full Time · 3 months ago

Cohere Health

🌎 United States 💵 $185K - $210K per year ⭐ 10+ yrs exp 💼 Software Development

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.

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Associate Medical Director, Orthopedic Surgery

Cohere Health · Full Time · 6 months ago

Cohere Health

🌎 United States 💵 $250K - $265K per year ⭐ 5-10 yrs exp 💼 Healthcare

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.

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Staff Machine Learning Engineer

Cohere Health · Full Time · 6 months ago

Cohere Health

🌎 United States 💵 $225K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

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.

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Associate Medical Director, Cardiology

Cohere Health · Full Time · 9 months ago

Cohere Health

🌎 United States 💵 $200K - $270K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Associate Medical Director will review clinical information and apply evidence-based guidelines to determine the medical appropriateness of services within Cohere’s Cardiology program. This role involves providing expert input on clinical decision guidelines and conducting peer-to-peer discussions with treating providers.

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Senior Business Analyst, Clinical Programs

Cohere Health · Full Time · 9 months ago

Cohere Health

🌎 United States 💵 $100K - $110K per year ⭐ 5-10 yrs exp 💼 Software Development

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.

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