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. Moreover, Cohere’s Diagnostic Imaging program uniquely supports these goals within Cohere’s MSK, Cardio, and other programs.

This is a crucial role to launch and scale Cohere’s Diagnostic Imaging solution as a standalone offering and key value-driver of other specialty programs for health plan and risk-bearing clients. This leader will be responsible for driving the launch, optimization, and measurement of Diagnostic Imaging solutions 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:

• Launch and scale Diagnostic Imaging solutions aimed at managing cost trends and improving health outcomes as standalone offerings and value-drivers within other clinical specialty programs
• Collaborate cross-functionally with Clinical, PaaS, Product, Operations, and other teams to design and execute Diagnostic Imaging solutions
• Develop, manage, and grow relationships with clients, clinical partners, and business partners in the Diagnostic Imaging space, in collaboration with Business Development and Strategic Accounts leaders
• Establish and communicate goals of Diagnostic Imaging solutions and partnerships, monitor outcomes, and lead initiatives for clinical and business optimization

Your competencies:

• Proven track record of conceiving, executing, and driving success in tech-enabled Diagnostic Imaging solutions with health plans or other risk-bearing entities
• Deep expertise in Diagnostic Imaging solutions and competitive landscape, economic drivers, and clinical needs
• Strong ability to initiate and maintain internal cross-functional and external client / partner relationships to problem solve and deliver on goals
• Excellent written and verbal communication skills, including developing and delivering executive-level presentations, tailoring communication styles to internal and external audiences, and exhibiting a high level of executive presence
• Demonstrated success in leveraging data to drive strategies and solutions
• Flexible and agile working style, skilled working in remote environments, self-directed, and operates with a sense of urgency

• Process oriented, with ability to design new processes where needed for efficiency, organization, and alignment

• 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, MBA, MD, or nursing degree)
• 10+ years of experience in the areas of utilization management, clinical programs, and/or care management
• 5+ years of experience at a health plan, risk-bearing entity, or utilization management vendor leading Diagnostic Imaging solutions that address administrative expenses, medical expenses and patient outcomes
• Experience launching and scaling new tech-enabled healthcare products or services

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.

#LI-Remote

#BI-Remote