Cohere Health

Cohere Health

📍 Location: United States, United States

Cohere Health offers clinical intelligence for improved healthcare outcomes through intelligent prior authorization.

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Clinical Program Director

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1 week ago
💰 160K-180K USD/year
🛢️ Greenhouse
Full Time
🏠 Remote
🔴 Expert (10 Years)
🩺 Healthcare Services Jobs
🏥 Healthcare
✍️ Full Description
Cohere Health is a fast-growing clinical intelligence company seeking a Clinical Program Director to help define the clinical strategy for their inpatient solution, combining deep clinical expertise and cutting-edge AI to improve UM clinical review performance and reduce unnecessary IP admit utilization.

Requirements

  • 10+ years of experience in IP UM at a health plan and/or IP revenue integrity at a hospital
  • Clinical degree (e.g., RN, MD, PharmD) preferred but not required
  • Proven track record designing and overseeing clinical programs that impact IP utilization and spend
  • Strong grasp of IP utilization and spend, regulatory requirements, and clinical guidelines
  • Experience collaborating with cross-functional teams (e.g., analytics, product, clinical operations) to translate clinical strategy into action
  • Adept at interpreting complex data and identifying trends to inform clinical program design and evaluation
  • Excellent communicator, able to convey clinical concepts clearly to both internal teams and external clients
  • Ability to operate in fast-paced startup environment
  • Entrepreneurial by nature, always thinking about how to improve the status quo
  • Passion for and conceptual understanding of how AI can be used to optimize UM

Benefits

  • health insurance
  • 401k
  • bonus
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