Cohere Health

👥 501-1000💰 $50,000,000 Series C over 1 year agoSaaSConsumer SoftwareHealth CareSoftware💼 Private Company
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Cohere Health is a technology-focused company that engages in the development and implementation of innovative solutions in the health sector, seeking to optimize healthcare delivery and improve patient outcomes.

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🧭 Full-Time

💸 275000.0 - 295000.0 USD per year

  • Completed US-based residency program in Internal Medicine and fellowship program in Cardiology
  • Board certification as an MD or DO with a current unrestricted state license to practice medicine - must maintain necessary credentials to retain the position
  • 5+ years of clinical practice beyond residency/fellowship
  • Lead a team of Cardiology Associate Medical Directors responsible for prior authorization clinical reviews and peer-to-peer discussions
  • Inspire and motivate team members to perform at their best
  • Perform clinical reviews on a daily basis (50%)
Posted about 2 hours ago
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🔥 Product Designer
Posted 5 days ago

💸 110000.0 - 120000.0 USD per year

🔍 Healthcare

  • 3+ years of experience in software product design
  • Enterprise software design experience, especially in healthcare, fintech, or analytics.
  • Mastery of modern design and prototyping tools such as Figma, AdobeCC, Framer, Principle, Origami, etc.
  • Work across all stages of the design process: user research, ideation, concept development, validation, wireframing, prototyping, final visual design, and handoff to implementation
  • Deeply understand users and their needs, collaborating with our user researchers to conduct generative user research
  • Create beautiful, emotionally compelling, pixel-perfect mockups of the end-to-end user experience
Posted 5 days ago
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🔥 Deputy General Counsel
Posted about 2 months ago

📍 United States

🧭 Full-Time

💸 170000.0 - 210000.0 USD per year

🔍 Healthcare

  • 10+ years legal experience
  • 3-5 years experience as in-house counsel for a healthcare organization
  • Active member in good standing with the state bar
  • Excellent judgement, analytical, problem-solving and negotiation skills
  • Excellent written and verbal communication skills, especially in the areas of contract drafting and explaining legal and business risks to business clients
  • Strong business acumen
  • Ability to drive results and balance management of legal risk with meeting goals of the business
  • Ability to translate complex legal concepts into practical business advice
  • Ability to provide sound, proactive, fact-based legal advice.
  • Ability to independently explore and recommend viable alternatives to overcome legal hurdles whenever possible while appropriately managing risk and compliance for the company.
  • Support the transactional and contract needs of, and provide counsel on issues concerning company business, specifically the company’s product offering to its health insurer customers and commercial partners
  • Provide legal and transactional support to vendor contracting and to the Company’s marketing group
  • Assist the General Counsel and Chief Compliance Officer with corporate and governance matters
  • Provide legal advice and support to senior management and departments
  • Draft, review, and negotiate contracts and agreements
  • Develop and implement legal strategies to minimize risk
  • Collaborate with external counsel
  • Conduct legal research and analysis to support decision-making

SQLComplianceRisk Management

Posted about 2 months ago
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🔥 RN Reviewer
Posted 4 months ago

📍 United States

💸 32.0 - 35.0 USD per hour

🔍 Clinical intelligence

  • Registered Nurse with active, unencumbered license in state of residence.
  • Minimum 3 years of clinical experience.
  • Required Utilization Management experience.
  • Experience in acute care and/or post-acute care environments.
  • Preferred experience includes HEDIS RN/abstraction, Legal RN, Utilization Review.
  • Strong communication skills, both written and oral.
  • Understanding of NCQA and CMS standards.
  • Proficient in using MCG guidelines.
  • Performs medical necessity review including inpatient, concurrent, prior authorization, retrospective, and treatment setting reviews.
  • Consults with Medical Directors regarding care that does not meet criteria.
  • Documents clinical information accurately and timely.
  • Maintains understanding of Cohere Health’s authorization and clinical criteria.
  • Identifies and refers members to appropriate healthcare programs.
  • Collaborates and educates with various stakeholders to ensure criteria consistency.
  • Ensures compliance with accreditation and regulatory requirements.
  • Participates in quality improvement activities.
Posted 4 months ago
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