Clinical Programs Manager

Company Overview:

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled.  That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

Opportunity Overview:

The Clinical Program Manager is a crucial role in our organization. In this role you will support creation, development, and continuous optimization of innovative clinical programs that deliver cost and quality outcomes by leading pilot and launch of clinical programs for new clients.  The role is client-facing, requiring regular facilitation and clear communication around pilot schedule, roles and responsibilities, progress, and results. 

This role offers tremendous opportunity for an energetic, highly organized person to make an immediate impact on the growth of Cohere. Reporting to the Senior Director of Clinical Programs, you will work cross-functionally with Medical Directors, Operations, Product, User Experience, Client Success, Trend Innovation, and Trend Analytics teams in support of our larger clinical strategy. 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 creation, development, and continuous optimization of innovative clinical programs that deliver cost and quality outcomes
• Support development of business cases justifying innovation opportunities
• Lead pilot and launch of clinical programs for new clients
• Design pilots enabling key learnings and risk mitigations; create, maintain, and enforce a detailed schedule for pilots; designate clear roles and responsibilities among stakeholders; regularly report progress and results to clients
• Collaborate with Medical Directors to act as clinical subject-matter experts and ensure clinical integrity of pilots and implementations
• Collaborate with Operations team to ensure pilots and launches are implemented on schedule and on budget
• Regularly communicate progress and results to internal and external stakeholders
• Facilitate client meetings by creating agendas and meeting content and maintaining and communicating detailed notes

Your background & requirements:

• Bachelor's degree or BSN required (Preferred: MPH, MHA, or other healthcare-focused post-graduate degree)
• 3+ years health solutions experience in health systems, health plans, or growth stage companies serving health systems or health plans
• Deep understanding of utilization management; expertise on inpatient acute hospital or outpatient patient flows, provider-payer workflows, and revenue cycle management
• 2-3 years of experience in Clinical Program piloting and implementation
• Deep understanding of healthcare data and excellent analytical abilities; comfort with Excel, Tableau, SQL
• High level of executive presence and proven track record interfacing with external key stakeholders to achieve performance objectives
• Excellent written and oral communication skills, including developing effective presentations and communicating expectations / accountability
• Demonstrated track record of delivery and continuous process improvement
• Strong leadership capabilities and ability to initiate and maintain cross-team relationships
• Proficient in using a Mac, Google applications, Jira, and Confluence