- Configure and maintain medical coverage policies within Cohere’s product platform to ensure accuracy, consistency, and compliance with industry standards.
- Conduct quality assurance reviews and testing of policy configurations to validate functionality and clinical appropriateness.
- Monitor updates on medical coverage policies to adjust policies and maintain compliance.
- Serve as a subject matter expert on medical coverage policies, providing guidance and support to internal teams and customers.
- Address internal/external customer inquiries and feedback regarding policy configurations, ensuring alignment with payers, providers, and reviewers.
- Collaborate cross-functionally with clinical experts, product managers, engineers, medical writers, and utilization management reviewers to optimize policy implementation and usability.