Senior Clinical Program Manager

Company Overview:

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:

The Senior Clinical Program Manager position is a crucial role in our organization. This leader, working cross functionally across the team, will be responsible for transforming prior authorization from being transactional and siloed towards a more holistic process that improves experience, outcomes, and value for patients and the providers who care for them.  This role sits at the intersection of data and clinical programs, and requires someone who is fluent in both domains.  It is also a “zero to one” role where this leader will need to build from scratch and get things going vs. inheriting a program to run.

At a growing organization, this is a position that offers the ability to make a substantial mark on the company and its partners, with exponential growth opportunities. This role offers tremendous opportunity for an experienced, strategic, and highly organized person to make an immediate impact for millions of patients and their providers. The work will be fast-paced with evolving needs, requiring flexibility, emotional intelligence, curiosity, and grace under pressure.

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:

• Support strategy and goals to improve interoperability and data transparency
• Create analytically driven quality programs aligned with best evidence 
• Create, maintain, and manage relationships with external partners including clients and vendor partners
• Work cross-functionally with internal technical teams responsible for integration and interoperability to deliver
• Continuously monitor the performance of programs, partnerships, and integrations to adjust and improve performance of the overall program
• Where relevant, identify and drive partnerships to bring new, differentiated capabilities
• Seeking Excellence - Ensure programs delivered meet the intended business benefits and/or success criteria by demonstrating leadership, initiative, and autonomy
• Implementation Success – Manage tasks and resources in a detailed project plan with accurate updates to implementation schedule provided regularly; utilize data to inform strategies that will drive meaningful change and demonstrate program impact and efficacy; lead post mortem reviews of implementation success
• Communication – Identify, engage, and manage all stakeholders including clearly identifying roles, articulating responsibilities, setting expectations, and resolving gaps and constraints effectively

Your background & requirements:

Competencies:

• Strong fluency in data and analytics; can work with data, identify opportunities, and drive decisions
• Program development skills; ability to create and manage structured programs that drive measurable quality and cost impact
• Understanding of the Medicare, Medicaid, and commercial insurance industry, including value-based models for cancer such as EOM
• Scrappiness, flexibility and agility, works well in ambiguous situations, clear understanding of an early stage startup environment
• Desire and ability to work cross functionally across remote teams in a fast-paced environment
• Seek out and thrive in self-directed roles and organizations
• Experience seeing projects through the full life cycle
• Excellent communication skills both written and oral
• Proficient in developing presentations and delivering presentations that convey fact-based narratives and clear storyline
• Exceptional communication and interpersonal skills
• Bonus: interest in or proficiency with the application of behavioral economics within healthcare

Qualifications:

• Bachelor's degree required (MPH, MBA, Health Informatics, or Quant degree preferred)
• 3+ years Business Analyst experience and 5+ years delivering clinical programs
• 5+ years client facing experience 
• Experience with healthcare data (EMR and claims) and interoperability
• Experience serving as the lead thinker / consulting partner, designing innovative clinical programs and interventions driving value for payers and their members
• High level of executive presence and experience interacting externally with clients to achieve 
• Proven track record and experience interfacing with external key business stakeholders/partners to achieve performance objectives
• Experience in an agile product / analytics environment
• Passionate about continuous process improvement, always actively seeking out practical solutions to challenging business problems
• Strong leadership capabilities and ability to initiate and maintain cross-team relationships

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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