Opportunity Overview:
This role offers a unique opportunity to shape how complex clinical and policy decisions are communicated to patients—clearly, accurately, and compassionately. As a key contributor to the clinical content team, you will craft and refine patient-facing adverse determination communications, ensuring they meet rigorous regulatory requirements while remaining understandable and respectful to diverse audiences. Your work will directly influence the patient experience at critical moments, helping individuals better understand their coverage, care options, and next steps.
You’ll collaborate closely with clinicians and policy experts to translate complex medical and regulatory information into clear, consistent human-centered language. Beyond writing and editing, you’ll help establish templates, style guides, and best practices that scale across products and programs, and support efforts to structure and automate clinical knowledge. This is an ideal opportunity for a medical or health communications professional who values precision, empathy, and cross-functional collaboration—and who wants their work to make a meaningful impact in healthcare.
What you’ll do:
- Draft and refine adverse determination reasons and related communications in plain language.
- Collaborate with clinicians and policy writers to ensure accuracy and consistency.
- Translate complex medical and policy content into clear, patient-centered language.
- Ensure all communications comply with regulatory requirements (CMS, NCQA, URAC, and state mandates) and are implemented within project deadlines.
- Maintain consistency in tone, readability, and user experience across documents.
- Support the development of templates, style guides, and best practices for patient‑facing content.
- Partner with other members across the organization (informatics, clinical content, designers, etc.) to capture, structure, and automate clinical knowledge.
What you’ll need:
- Bachelor’s degree in English, Communications, Public Health, Nursing, or related field (background in nursing or clinical practice strongly preferred)
- 5+ years of experience in medical writing, patient communications, or health literacy required
- Experience with clinical policy, utilization management, or payer environment required
- Knowledge of health literacy principles and plain language standards
- Excellent writing, editing, and proofreading skills with attention to detail
- Ability to balance regulatory compliance with patient‑friendly readability
- Experience collaborating with clinicians, policy teams, and compliance/legal stakeholders
- Background in nursing or clinical practice strongly preferred
Pay & Perks:
💻 Fully remote opportunity with about 5% travel
🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
📈 401K retirement plan with company match; flexible spending and health savings account
🏝️ Flex Time Off + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $85,000 - $92,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process*:
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Behavioral Interview(s)
- Case Study
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
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Cohere Health Boston, Massachusetts, USA Office
Boston, MA, United States
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