Manager, Clinical Operations

Cohere Health

14 days ago

3.3 on Glassdoor

Remote

Full Time

Manager

15 applicants

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About this role

Cohere’s Clinical Operations team is hiring a Manager to oversee Nurse Review teams, mentor staff, and collaborate with leadership to meet operational goals. The role involves managing performance metrics, process improvements, and supporting team development in a remote work environment.

Skills

Qualifications

Active Registered Nurse License5+ years Supervisory/Management ExperienceKnowledge of NCQA/CMS RequirementsExperience with MCG, CMS NCDs/LCDs3+ years Prior Authorization Experience

About Cohere Health

coherehealth.com

Cohere Health is a healthcare technology and services company that transforms utilization management and prior authorization from an administrative burden into a strategic asset. It combines evidence-based clinical pathways, clinician-led review, and a digital platform to streamline authorization workflows, reduce delays, and improve patient access to appropriate care. Cohere partners with payers and provider organizations to lower costs, reduce unnecessary denials, and deliver measurable quality and utilization improvements. Its clinician-centric approach preserves clinical judgment while providing payers greater transparency and alignment with value-based care.