Account Manager, Delivery Solutions

Описание вакансии

Opportunity Overview:

Cohere’s Provider & User Management team ensures a proactive, supportive, and partner-oriented experience for healthcare providers across our health plan clients’ networks. As an Account Manager, Delivery Solutions, you will manage a portfolio of provider practices and health systems, serving as a trusted partner and primary point of contact for questions, escalations, and program support.

In this role, you will collaborate closely with clinical and operational teams to drive provider engagement, support educational outreach initiatives, and guide providers through new workflows and program implementations. You will play a key role in helping providers successfully adopt Cohere’s solutions while improving the overall provider experience.

What you’ll do:

• Serve as the primary point of contact for an assigned portfolio of provider practices and health systems, delivering education, training, communications, and ongoing support to ensure successful engagement with Cohere programs and workflows.
• Act as the liaison between Cohere and providers participating in government-sponsored health plans, addressing platform and administrative questions, supporting provider training, and ensuring alignment with payer requirements and regulatory obligations.
• Manage and resolve provider escalations, including grievances or disagreements related to clinical guidelines, coordinating closely with internal clinical, compliance, legal, and operational teams.
• Lead provider onboarding, program implementation, and workflow transition efforts, guiding practices through new processes, platform enhancements, and regulatory-driven changes to ensure successful adoption.
• Proactively engage providers through targeted outreach, education, and best-practice sharing to improve adherence, increase auto-approval rates, and optimize prior authorization workflows.
• Monitor portfolio performance using reporting and scorecards to identify risks and opportunities to improve clinical quality, reduce manual review of authorization requests, and support provider success.

What you’ll need:

• Bachelor’s degree required; PMP or similar project management certification preferred.
• 3+ years of experience in the healthcare industry in roles such as account management, client services, provider relations, network operations, or network development.
• Experience working with government healthcare programs (e.g., CMS), including engagement with provider and/or member populations.
• Familiarity with Medicaid and Medicare environments, managed care models, and prior authorization processes.
• Strong relationship-building, communication, and negotiation skills, with the ability to translate complex policy or process into provider-friendly language.
• Analytical mindset with experience interpreting provider performance, compliance, and engagement data using tools such as Excel or other Microsoft applications.
• Demonstrated ability to manage multiple priorities and projects across a large provider portfolio in a fast-paced environment.
• Willingness and ability to travel up to ~35% within the mid-Atlantic region.

Pay & Perks:

💻 Fully remote opportunity with about 35% travel

🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program

📈 401K retirement plan with company match; flexible spending and health savings account

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave

🐶 Pet insurance

The salary range for this position is $100,000 to $115,000 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. Team Interview
4. Executive Interview

\*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

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, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

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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