The Senior Clinical Portfolio Manager will oversee the day-to-day execution and operational outcomes of the Speech Therapy program. They will coordinate across clinical strategy, analytics, and client success teams to ensure program delivery aligns with strategic objectives and performance metrics.
Lead and mentor a team of Applied Scientists to develop and deploy machine learning models that automate complex clinical and administrative workflows. Partner cross-functionally with Product, Engineering, and Clinical stakeholders to ensure solutions are scalable, reliable, and drive healthcare impact.
The Team Lead will manage and mentor a team of auditors to ensure accurate claims processing and maximize overpayment identification. They will collaborate cross-functionally to maintain quality standards, meet production timelines, and ensure compliance with coding regulations.
The Strategic Medical Director will lead the vision and evolution of clinical and digital care management offerings while serving as a subject matter expert for internal teams and clients. They will collaborate cross-functionally to translate clinical strategy into technology-enabled solutions and support growth initiatives through client engagement.
The Clinical Integrity Director manages the operational integrity, governance, and readiness of clinical programs and technology-enabled solutions. This role coordinates across cross-functional teams to ensure clinical requirements are met and operational readiness is maintained for product releases and client implementations.
The Senior Actuarial Support Analyst will design and maintain complex financial models to evaluate cost-saving initiatives and analyze prior authorization trends. They will act as a strategic advisor to leadership, providing actionable insights and reports to improve healthcare efficiency and cost outcomes.
The specialist will design and deliver training programs for RN and MD reviewers to ensure efficient queue management and platform adoption. They will collaborate with internal teams to maintain training toolkits and translate complex workflow customizations into effective educational materials.
The Provider Success Manager leads the end-to-end onboarding and engagement lifecycle for providers and client users to ensure a seamless experience. They act as the primary point of contact to drive platform adoption, monitor portfolio performance, and provide consultative support to optimize clinical workflows.
The Clinical Integrity Manager is responsible for executing and maintaining the integrity, scalability, and operational readiness of clinical programs and technology-enabled solutions. This role involves partnering cross-functionally to translate clinical strategy into scalable processes while ensuring compliance with regulatory requirements and evidence-based standards.
Lead clinical analytics projects by collaborating with multidisciplinary teams to formulate plans and build analytical solutions. Identify optimization opportunities through statistical data mining and predictive modeling to improve clinical value and program effectiveness.
The Clinical Training & Quality Specialist will implement clinical quality measurements and develop training programs to improve operational efficiency. They will audit clinical decisions, provide coaching to team members, and ensure compliance with NCQA and CMS standards.
The Medical Director will perform medical necessity reviews using evidence-based guidelines and provide clinical input to support the company's decision-making tools. They will also conduct peer-to-peer discussions with providers to clarify clinical information and ensure high-quality patient outcomes.
Lead and develop a high-performing data platform engineering team while overseeing the execution of complex data initiatives. Partner with cross-functional stakeholders to ensure technical excellence, operational reliability, and scalable data foundation growth.
The strategist will consult with PaaS clients to design and execute robust automation programs for prior authorization decisioning. They will also translate complex requirements into technical blueprints and collaborate with cross-functional teams to drive platform value and continuous improvement.
The Clinical Configuration Analyst will manage the technical configuration of platform requirements for PaaS clients to support prior authorization automation. They will collaborate with cross-functional teams to test functionality, resolve technical issues, and serve as a subject matter expert throughout the customer lifecycle.
Lead a team of 20+ engineers across multiple squads to build and maintain clinical operations workflows. Oversee production reliability, technical direction, and the professional growth of direct reports and technical leads.
Lead the design and implementation of large-scale, reliable data pipelines while mentoring junior engineers to raise team standards. Collaborate with cross-functional stakeholders to ensure data products are performant, compliant, and trustworthy.
The analyst will collaborate with multidisciplinary teams to derive insights from healthcare data to improve clinical program effectiveness and patient outcomes. They will also build analytical reporting solutions and identify optimization opportunities using statistical modeling to support strategic decision-making.
The Medical Director will perform clinical reviews to determine medical necessity using evidence-based guidelines and clinical acumen. They will also provide expert input on clinical content and conduct peer-to-peer discussions with treating providers to improve patient outcomes.
You will independently deliver full-stack features and improvements for healthcare technology, owning the design, implementation, and deployment process. You will also collaborate with product and QA teams to debug production issues and mentor junior team members.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
