Job Description

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctors office.  Founded in August, 2019, we are obsessed with eliminating wasteful friction patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  To that end, we build software that is expressly 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.

Opportunity Overview:

Cohere’s Provider Success program is responsible for ensuring consistent delivery of a proactive, supportive, and partner-oriented experience to an regionally assigned group of providers/practices across our health plan-clients' networks (e.g. orthopedic specialists, primary care, ancillary service providers, health systems, etc.). The Provider Success Manager will be an integral member of the Customer Success team ensuring at the elbow partnerships engaging trust and producing loyalty with our Provider Partners.

The Manager, Provider Success position is a crucial role in our organization. In this role, you are responsible for managing a defined portfolio of healthcare provider practices and/or health systems in one or more specialty areas. You will serve as the face of Cohere, responding to escalations and questions for your portfolio. Additionally, you will play a proactive role in driving positive change in provider clinical practice patterns by implementing a number of outbound educational and intervention-based campaigns designed by your clinical counterparts.

As a Manager, Provider Success, you will work closely with many teams at Cohere to deeply understand our mission and product. You will need to understand the perspective of provider organizations and the challenges that they face.  You will use your professionalism, personality, and communication skills to support our provider practices while supporting a number of targeted interventions that will directly improve the quality of care for thousands of patients. At a growing organization, this is a position that offers the ability to make a substantive mark on the company, its partners, and contribute meaningfully to improving patient care. There’s exponential growth opportunity, and no shortage of ways to innovate alongside an equally passionate set of team members.

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:

• Serve as the practice’s main point of contact
• Contracting/administrative issues, non-tech-support-like platform questions, training support, tactics to optimize auto approval rates
• Be the subject matter expert for our Provider Partners with the Cohere Unify platform
• Help with onboarding and training new Providers registering on our platform
• Escalation points
  • Grievance investigation and resolution
  • Disagreement with clinical guidelines
  • Authorization processes and training
• Proactive outbound engagement:
• • Identifying non-adherence within portfolio, then designing simple outbound email, phone, and/or educational campaigns to drive favorable behavior change
  • Sharing best practices, tips to optimize auto approval rates
• Portfolio performance monitoring/scorecarding:
  • Leverage standard reporting packages to monitor assigned portfolio, then identify issues, risks, or opportunities to further clinical quality and trend goals, AND reduce manual review of auth transactions (Cohere admin expense reduction) 
  • Drive routine process (quarterly meetings, routine phone check-ins, etc. to push practices towards achieving optimal auto approval rates, reduce pends and denials
• Consultative support:
  • Support practices seeking to optimize their clinical protocols and/or prior auth admin workflows to better leverage the benefits of Cohere (e.g. increase auto approval rates, decrease follow-up requests for missing information, etc.)
  • For high-value strategic practices, disseminate relevant thought leadership
  • Engage practice leadership consultatively as it relates to configuration of Cohere to further practice financial goals (e.g. aligning Care Paths with any risk/procedure-based payment bundles; optimizing flow of patients to internal ancillary services, when aligned with Cohere’s client’s financial/clinical goals)
  • Consult on better prior auth workflows in Cohere to improve review times
• Network implementation support:
  • Support initial implementation of new client networks
  • Onboard new providers/practices in mass, and periodically thereafter

Your background & requirements:

• Ability to constantly prioritize a large regionally assigned group of practices and independently allocate effort to the highest impact activities
• Experience working with healthcare provider data and networks
• Demonstrated expertise in data preparation and analysis using Google, Excel, Access and other Microsoft applications
• Prior experience managing mid to large scale projects
• Strong Attention to Detail
• Bachelor's degree
• Minimum 5 years of previous experience in the health solutions industry in a similar account management, client services, provider relations, network operations, or network development role
• Must be passionate about contributing to a culture that values consistent delivery of a proactive, supportive, and partner-oriented experience to an assigned portfolio of providers/practices
• Willing and able to travel ~25-50% of the time

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.