CH
$96,000 – $125,000
Listed on Cohere Health’s own careers site. You apply with them directly — we never stand between you and the employer.
What this role is
This is a hands-on clinical operations role for someone with deep healthcare expertise to serve as a bridge between clinical strategy and product delivery at a health plan technology company. You'll own clinical requirements, testing, and governance while working cross-functionally to ensure the company's platform meets regulatory and clinical standards.
Our summary, not Cohere Health’s wording. The full posting is on their site.
Skills this role names
- Agile
- Clinical Documentation
- Lean
- Product Management
- Six Sigma
- User Acceptance Testing (UAT)
- Utilization Management
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What they ask for
Required
- Active unrestricted clinical license (RN, PT, OT, or SLP)
- Bachelor's degree in Nursing, Therapy, Healthcare Administration, or related field
- 5+ years progressive experience in Utilization Management, Clinical Operations, or health plan operations
- 2+ years in a leadership or supervisory capacity
- Knowledge of Medicare Advantage, Medicaid, Commercial, and Marketplace UM
- Knowledge of CMS regulations and NCQA accreditation
- Experience partnering with Product and Technology teams to influence clinical workflows
Nice to have
- Master's degree
- Experience with AI-enabled clinical workflows
- Familiarity with InterQual or MCG
- Lean/Six Sigma/Agile/PM certification
- Prior UAT/QA experience in a tech environment