Provider Success Manager

1 month ago
Full-time
Mid Level
Customer and Technical Support
Cohere Health

Cohere Health

Cohere Health transforms healthcare utilization management and prior authorization, aligning physicians and health plans for better patient outcomes and reduced costs.

Insurance
251-1K
Founded 2019
$56M raised

Description

  • Serve as the primary contact for providers, providing education, training, communications, platform guidance, and escalation support.
  • Lead provider and client-user onboarding from pre-implementation through post-go-live, including training coordination and change enablement.
  • Support compliance with CMS and state requirements, Cohere workflows, HIPAA, privacy standards, and program integrity expectations.
  • Identify engagement, adherence, and performance trends and develop proactive outreach campaigns to encourage behavior change.
  • Monitor portfolio health using reporting and scorecards, and lead recurring check-ins, practice calls, and quarterly reviews.
  • Provide consultative guidance on clinical protocols, prior authorization workflows, auto-approval performance, and configuration alignment.
  • Recommend workflow improvements that reduce friction, review times, pends, and denials while supporting compliance.
  • Assist with onboarding new client networks and provider groups, including high-volume onboarding and refresher training initiatives.
  • Coordinate with Cohere teams, health plan training teams, provider experience teams, Compliance, and Legal to resolve issues and manage risks.

Requirements

  • Bachelor’s degree.
  • 3–4 years of account management experience and 3+ years in healthcare, health plans, provider organizations, or health technology.
  • Direct experience in a physician, provider, clinical office, or practice setting, such as office management, revenue cycle, patient access, claims, or clinic operations.
  • Experience with healthcare programs and direct engagement with provider or member populations.
  • Strong communication, relationship-building, negotiation, and policy-translation skills.
  • Ability to interpret provider engagement, compliance, and performance data using Tableau and Excel or Google Sheets.
  • Ability to prioritize and independently manage a large practice portfolio.
  • Proactive ownership, problem-solving, organization, and time-management skills, with experience managing mid- to large-scale projects.
  • Familiarity with change management, Medicaid/Medicare, managed care, prior authorization, and healthcare provider data.
  • Experience with Salesforce or another CRM, Jira and/or Monday.com, onboarding program design, or user experience optimization; ability to travel approximately 35%.

Benefits

  • Fully remote position with approximately 35% travel.
  • $90,000–$115,000 annual salary, plus benefits and bonus.
  • Medical, dental, vision, life, disability insurance, and Employee Assistance Program.
  • 401(k) with company match, flexible spending account, and health savings account.
  • Flexible time off and company holidays.
  • Up to 14 weeks of paid parental leave.
  • Pet insurance.

Interested in this position?

Apply directly on the company website

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