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Cohere Health

Payer Strategy Director

Posted Yesterday
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Remote
Hiring Remotely in United States
180K-190K Annually
Senior level
Easy Apply
Remote
Hiring Remotely in United States
180K-190K Annually
Senior level
Partner with sales, implementation, and product to advise payer executives on utilization management transformation. Lead consultative scoping, build business cases and ROI models, demonstrate platform value, and support enterprise sales by shaping scalable processes and cross-functional delivery for health plan partnerships.
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Opportunity Overview: 

We are seeking a Payer Strategy Director to join our Growth team. In this role, you will partner closely with the sales, implementation, and product  to lead the process to help prospects develop the strategy and business case for UM transformation. This is an opportunity to partner directly with health plan executives and play a critical role in shaping and closing transformative partnerships that drive Cohere's growth strategy!

What you’ll do:

  • Become an expert on market and technology trends impacting utilization management and related clinical functions within health plans (e.g., care management, digital health, value-based care, interoperability, etc.)
  • Engage with payer executives as a thought partner, advising them on market trends, best practices, and opportunities to drive more business value from their UM function
  • Serve as a Cohere SME on sales calls with payer executives, capable of leading demonstrations and speaking to the value and differentiation of the Cohere platform
  • Lead consultative process to scope client partnerships and help prospects develop the strategy and business case for UM transformation
  • Contribute to growth function by identifying opportunities to improve our internal processes and deliverables to build a scalable and high impact enterprise sales model

What you’ll need:

  • 7-10 years of experience in similar role for a health-tech company, healthcare consulting, or health plan
  • Deep experience selling into, or working with, health insurance plans across different lines of business
  • Understanding of health plan technology systems and workflows (e.g., core claims platforms, CM/UM systems, claims data, analytics, etc.)
  • Exceptional verbal and written communications skills
  • Demonstrated problem-solving and analytical ability. Experience with financial analysis and return on investment modeling
  • Customer-orientation and start-up ready mindset; comfortable with ambiguity
  • Highly collaborative and experience participating in team-led sales models 
  • Experience working with cross-functional teams; project management experience a plus
  • Willing to travel to prospect meetings
  • Deep experience selling into, or working with, health insurance plans across different lines of business a plus
  • Demonstrated success in complex sales of complex enterprise technology platforms a plus
  • Graduate degree in relevant field (e.g., MBA, MPH, etc.) a plus

Pay & Perks:

💻 Fully remote opportunity with about 10% 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 $180,000 to $190,000 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*:

  1. Connect with Talent Acquisition for a Preliminary Phone Screening
  2. Meet your Hiring Manager!
  3. Case Study
  4. Behavioral Interview(s)

*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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HQ

Cohere Health Boston, Massachusetts, USA Office

Boston, MA, United States

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