Account Manager, Provider Success

Opportunity Overview:

Cohere’s Provider & User Management Team is responsible for ensuring consistent delivery of a proactive, supportive, and partner-oriented experience to an assigned portfolio of providers/practices across our health plan-clients’ networks. The Account 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 while incorporating the unique needs of public-sector programs (e.g., Medicaid, Medicare, state-funded initiatives). 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.

What you’ll do:

• Be the Main Point of Contact
  
  • Serve as the go-to resource for providers, supporting education, training, communications, and general platform guidance.
  • Address contracting or administrative questions and help practices understand how to optimize their auto-approval rates.
  • Act as an escalation point for grievances, disagreements with clinical guidelines, and other high-touch needs.
• Lead Program Implementation
  
  • Support onboarding and ongoing engagement to ensure providers remain aligned with CMS/state requirements and Cohere workflows.
  • Maintain strong working knowledge of regulatory requirements influencing prior authorization and utilization management.
  • Partner with Compliance and Legal to surface potential risks or required communications.
• Drive Proactive Outreach
  
  • Identify non-adherence or performance trends, then design simple outreach campaigns (email, phone, educational touch points) that encourage positive behavior change.
  • Share best practices and actionable tips to improve auto-approval performance.
  • Ensure all provider interactions uphold HIPAA, privacy standards, and program integrity.
• Monitor Portfolio Performance
  
  • Use reporting and scorecards to track portfolio health, identify issues, and surface opportunities to improve clinical quality and reduce manual review.
  • Lead recurring check-ins, quarterly reviews, practice calls, workflow discussions to help teams improve approval rates and reduce pends/denials.
• Provide Consultative Support
  
  • Help practices optimize clinical protocols and prior-auth workflows to reduce friction and increase auto-approvals.
  • Share relevant thought leadership with key strategic partners.
  • Advise practice leadership on how to align Cohere configurations with financial and clinical goals (e.g., bundles, ancillary service alignment).
  • Recommend workflow improvements that accelerate review times and ensure compliance with CMS/state DOH obligations.
• Support Network Implementations
  
  • Assist with onboarding new client networks and provider groups at scale.
  • Manage high-volume provider onboarding initiatives and periodic refresh trainings as new providers join the network.

What you’ll need:

• Bachelor's degree
• PMP desired but not required
• Willing and able to travel up to ~30% 
• Strong communication skills with the ability to translate policy and process into provider-friendly language.
• 5-10+ years of experience in the health solutions industry (e.g. account management, provider relations, client services, network development, or network operations)
• Direct experience working with government healthcare programs, especially CMS, and engagement with provider and/or member populations
• Strong relationship-building and negotiation skills, particularly in highly regulated or complex healthcare environments
• Ability to independently prioritize across a large provider portfolio and focus effort where it has the highest impact
• Familiarity with Medicare/Medicaid rules, managed care models, and prior authorization processes
• Proven success managing mid- to large-scale projects in healthcare settings
• Strong analytical and technical proficiency, including advanced skills in Excel, Access, and other Microsoft applications 
• Experience with CRM systems, BI or analytics tools, provider data, or project management platforms (Salesforce, Tableau, Jira, Monday.com, etc.) is strongly preferred

Pay & Perks:

💻 Fully remote opportunity with about 30% 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 $105,000 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.