Company Overview: 

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience.  Founded in August 2019, we are obsessed with eliminating wasteful friction in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  We build software designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles.

We deploy a multi-dimensional engagement model that utilizes Cohere Care Paths to ensure provider decisions are aligned with standards of care and drive optimal outcomes for every patient.  We also incorporate proven interventions to unlock further improvements in experience and quality and achieve our clients’ value objectives.

Opportunity Overview:

Cohere’s Clinical Programs team is responsible for conceiving, designing, developing, and continuously refining clinical specialty programs that reduce medical expenses, reduce provider burden, and optimize care.  Clinical programs utilize data and technology to shift utilization management from a transactional experience to one that drives personalized care for patients and value for those who care for them. 

Reporting to the VP, Clinical Programs, this is a crucial role in our organization to build and scale clinical program offerings for health plan and risk-bearing clients. This leader, working in a highly cross-functional role and directly supported by Program Managers and Clinical Informatics Leads, will be responsible for driving the creation, optimization, and measurement of clinical programs designed to make meaningful impacts on healthcare experience and outcomes. 

Last but not least: People 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.

What you will do:

• Own the strategy, goals, development, and continuous improvement for clinical programs aimed at managing cost trends and improving health outcomes 
• Collaborate cross-functionally with Medical, Trend Innovation, Clinical Analytics, Product, Operations, and other teams to design and execute clinical programs 
• Develop and manage relationships with external clients and partners, in collaboration with Business Development and Strategic Accounts teammates
• Continuously monitor the performance of programs, partnerships, and integrations to refine and improve clinical and business outcomes of the overall program
• Lead 3 direct reports supporting assigned clinical programs

Your competencies:

• Proven track record of conceiving, building, and managing tech-enabled healthcare products or services 
• Intentional, effective people leadership, including coaching, delegating, and providing actionable feedback
• Strong ability to initiate and maintain cross-functional relationships to deliver on goals
• Ability to tailor communication styles to different audiences, including internal cross-functional teams and external customers and partners
• Excellent written and verbal communication skills, including proficiency in developing and delivering presentations 
• High level of executive presence and proven track record interacting externally with clients / partners to achieve performance objectives
• Flexible and agile, comfortable with the ambiguity of an early stage startup, skilled working in remote environments, and self-directed
• Strong understanding of the Medicare and commercial insurance industry, including value-based risk models
• Strong focus on continuous process improvement

Your qualifications:

• Bachelor's degree required (Preferred: MPH or an advanced degree in healthcare-related discipline, MD, or nursing degree)
• 15+ years experience in the areas of utilization management, population health, clinical programs, and/or care management 
• 7+ years of experience leading direct reports with demonstrated ability to recruit and manage a high-performing team
• 5+ years of experience at a health plan or risk-bearing entity managing utilization management strategy and/or clinical programs addressing medical expenses and patient outcomes
• Experience standing up new clinical programs or other healthcare products or services
• Experience in the cardiology space preferred, not required

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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