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Clinical Policy Configuration Specialist

Cohere Health

United States · full time

$65,000 – $80,000

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 role involves configuring and maintaining medical coverage policies within a healthcare technology platform, ensuring they remain accurate, compliant, and clinically appropriate. It suits someone with utilization management or medical policy experience who wants to bridge clinical knowledge with operational technology implementation at a healthcare startup.

Our summary, not Cohere Health’s wording. The full posting is on their site.

Skills this role names

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What they ask for

Required

  • 2+ years in utilization management, medical policy development, health technology assessment, or payer policy configuration
  • Strong understanding of medical coverage policies and prior authorization criteria
  • Familiarity with healthcare data structures and clinical coding
  • Proficiency with Microsoft Word, Excel, Google Drive, Confluence, and Jira
  • Strong attention to detail with quality assurance and validation experience
  • Bachelor's degree in Nursing (BSN) or equivalent clinical background

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