Jobs at Cohere Health

Lead a healthcare analytics and clinical configuration team, owning end-to-end auto-decisioning strategies for new client implementations. Translate business needs into scalable analytical frameworks, develop performance tracking and optimization initiatives, and deliver actionable insights from healthcare data. Partner with data governance and cross-functional teams to ensure explainable, responsible analytics. Manage team hiring, mentoring, coaching, and day-to-day operations while influencing product and business outcomes.

Lead end-to-end product design for complex enterprise healthcare workflows, from problem framing through delivery and iteration. Create user flows, wireframes, polished interfaces, and prototypes; collaborate with product, engineering, research, data, and operations teams; contribute to design systems; ensure accessible, feasible implementation; and use AI-powered tools to accelerate research, ideation, prototyping, and development workflows.

Owns day-to-day execution, roadmap management, performance tracking, reporting, stakeholder coordination, and continuous improvement for Cohere Health’s speech therapy program. The role manages cross-functional initiatives, monitors clinical and operational metrics, partners with analytics, supports client engagements, identifies process gaps, and escalates risks. Candidates need healthcare program management experience, strong analytical and communication skills, and familiarity with utilization management, payer operations, and value-based care.

Supports Sales and Growth teams through account and market research, CRM data management, Salesforce reporting, pipeline analytics, KPI reporting, process improvement, and AI-enabled automation. The role maintains data quality, builds dashboards, analyzes sales performance, researches prospects and competitors, supports business development initiatives, and partners cross-functionally to improve sales productivity.

Leads and mentors Applied Scientists developing, evaluating, and deploying machine learning and language-model solutions for healthcare workflows. Translates clinical and business problems into scalable AI systems, applies rigorous statistical methods and experimentation, partners with engineering and cross-functional stakeholders, and ensures models are reliable, reproducible, and safe. The role also contributes hands-on technical work, recruiting, onboarding, and team development.

Lead and mentor a remote team of payment integrity auditors conducting inpatient, outpatient, and professional claims reviews. Perform complex coding audits, validate diagnosis assignments, identify overpayments and discrepancies, and prepare findings using ICD-10-CM/PCS, DRG, AHA Coding Clinic, and CMS guidelines. Manage workloads, quality, productivity, appeals, compliance, and professional development while collaborating cross-functionally and staying current with coding and reimbursement regulations.

Leads inpatient clinical program strategy, innovation, and digital care management offerings for a healthcare technology company. Partners with clinical, product, engineering, analytics, operations, growth, and client experience teams to develop clinical logic, policy programs, technology-enabled solutions, and payer-facing strategies. Serves as a physician subject matter expert in client discussions, supports sales opportunities, builds partnerships, monitors program performance, and drives continuous improvement.

Leads clinical integrity governance and operational readiness programs across Clinical Operations, Product, Engineering, Compliance, and Client Success. Manages clinical requirements, regulatory change translation, product release readiness, clinical UAT, defect resolution, implementation planning, dashboards, and client-facing materials. Requires an active clinical license, extensive utilization management or health plan operations experience, and strong cross-functional program leadership in technology-enabled healthcare environments.

Build and evolve UI, API, and end-to-end test automation for a healthcare platform. Develop release validation, deployment guardrails, quality gates, and CI/CD integrations across cloud-native, microservices, and event-driven systems. Improve test reliability, environment stability, test data management, and failure analysis. Partner with Product, Engineering, Platform, SRE, and Security teams to support safe production releases, compliance, observability, and regulated workflows. Mentor engineers and apply AI-assisted tools to expand coverage and reduce flaky tests.

Build and support full-stack healthcare web applications and cloud platform services. Contribute to technical roadmaps, architecture, feature development, testing, deployment, releases, and production support. Collaborate with product, design, and engineering teams to deliver AI-driven and rules-based healthcare automation. Responsibilities also include supporting information security policies, practices, and implementation.

Manage the full procurement cycle, including sourcing, vendor evaluation, negotiations, purchase orders, delivery tracking, invoice coordination, supplier performance, compliance, and reporting. The role maintains vendor relationships, resolves supplier issues, identifies cost savings, and supports information security policy implementation. It requires strong organization, negotiation, analytical, communication, and procurement systems skills.

Owns configuration deliverables for client implementations and launches. Analyzes requirements, develops scalable configurations, documents specifications and procedures, collaborates with Product, Engineering, Implementation, and Testing teams, validates and troubleshoots configurations, and manages configuration items through their lifecycle. The role requires experience with structured data, APIs, integrations, ticketing systems, Excel, version control, and configuration management tools.

Own actuarial models and client-facing reporting measuring cost savings, outcomes, and performance of healthcare prior authorization programs. Analyze authorization and claims data, conduct impact evaluations, reconcile projected and realized results, investigate trends, and present executive-level insights to customers and leadership. Partner with clinical, customer success, data, and actuarial teams while maintaining reproducible, auditable methodology and documentation.

Develop and maintain financial and cost-savings models for prior authorization initiatives. Analyze healthcare claims, authorization trends, decision patterns, and cost drivers; quantify projected savings; and deliver executive reports and recommendations. Partner with clinical and customer success teams to address authorization challenges, conduct post-implementation assessments, and refine savings strategies. This remote-first role requires approximately 5% travel for onboarding and occasional meetings.

Deliver and improve live and digital training for client RN and MD reviewer teams using Cohere’s healthcare platform. Coordinate onboarding, develop LMS content and tailored training materials, document client workflows and customizations, host webinars and demos, and incorporate feedback to improve adoption. The role collaborates cross-functionally to maintain accurate training aligned with queue management processes and client operating models.

Leads complex, cross-functional technical programs from concept through launch, including platform migrations, architectural modernization, reliability improvements, and product launches. Defines milestones, manages dependencies and risks, coordinates engineering stakeholders, improves launch and execution processes, and communicates status and tradeoffs to executives. Requires strong software engineering experience, technical fluency, and the ability to drive ambiguous, multi-team initiatives to completion.

Own the full lifecycle of provider and client user engagement, including onboarding, training coordination, change enablement, proactive outreach, and relationship management. Serve as the primary provider contact, monitor portfolio performance, coordinate implementations, support prior authorization workflows, and recommend improvements that increase adoption, auto-approval rates, clinical quality, and compliance. Collaborate with internal teams, health plans, compliance, and legal while managing high-volume provider onboarding initiatives.

Leads clinical integrity for utilization management programs and technology-enabled healthcare solutions. Reviews workflows for regulatory and evidence-based alignment, writes clinical requirements and acceptance criteria, conducts UAT, manages release readiness, audits client commitments, and maintains governance documentation. Partners with clinical, product, engineering, compliance, legal, and client teams while supporting implementations, feasibility reviews, and business growth. Requires an active clinical license, healthcare operations expertise, and experience with Medicare, Medicaid, commercial, and marketplace utilization management.

The Intake Quality Assurance Specialist develops quality measurements, audits, coaching, SOPs, job aids, and training programs for healthcare intake operations. The role analyzes QA findings, identifies trends and compliance risks, supports workflow and product changes, facilitates onboarding and upskilling, and advises operational leaders. Responsibilities include partnering with Product, Clinical, Client Services, and Operations, managing projects, supporting change management, and assisting operational queues during high-volume periods.

Leads healthcare analytics projects using clinical, claims, pharmacy, and eligibility data to evaluate cost, utilization, quality, and program performance. Develops statistical analyses, predictive models, dashboards, and reporting solutions; identifies optimization opportunities; partners with clinical, product, engineering, and business teams; presents recommendations to stakeholders; and mentors junior analysts.