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Clinical Policy Configuration Specialist at Cohere Health - ApplyBlast

Clinical Policy Configuration Specialist

Cohere Health

5 months ago

3.3 on Glassdoor

Remote

Full Time

Senior

2 applicants

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About this role

A Clinical Policy Configuration Specialist at Cohere Health ensures medical coverage policies are accurately configured, maintained, and compliant within their platform, supporting clinical decision-making and optimizing policy implementation.

Skills

Qualifications

Bachelor's Degree in Nursing (BSN)2+ years of related experience

About Cohere Health

coherehealth.com

Headquarters

Boston, Massachusetts, United States

Company Size

501-1000 employees

Founded

2019

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Cohere Health is a healthcare technology company offering an AI-powered clinical intelligence platform, Cohere Unify, that connects utilization management, prior authorization, payment integrity, appeals, care management, quality, and claims operations for health plans. By combining domain-specific AI with human clinical expertise, Cohere streamlines authorization workflows, reduces unnecessary costs, and improves patient access to appropriate care. The company serves health plans and provider organizations, delivering measurable outcomes including real-time prior authorization approvals, payment audit efficiency, and HEDIS quality gap closure.