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:
Working on a small, fast-paced team, and reporting into the Director of Commercial Strategy, you will play a foundational role in the development and delivery of an Cohere’s inpatient product, which combines deep clinical expertise and cutting edge AI to improve clinical review accuracy and efficiency for inpatient admission authorizations. You will apply your clinical expertise to review historical cases and synthesize review patterns as a key input to automation build.
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:
- Review historical inpatient admission authorizations
- Synthesize patterns across reviews
- Help design algorithms for evaluating inpatient admission medical necessity
- Help build ML models that read clinical notes
- Consult on review automation product design
Your background & requirements:
- Registered Nurse (RN), associate or bachelor’s degree
- 7+ years of experience conducting payer UM reviews for acute inpatient authorizations
- 3+ years of experience in acute care hospital setting as a bedside nurse
- Clinical Rigor: Consistently performs high quality reviews, demonstrating strong command of complex cases
- Operational Expertise: Deep understanding of payer end-to-end inpatient UM workflows, regulatory requirements (e.g., CMS 2MN Rule), and guidelines (i.e., MCG, IQ)
- Analytical: Ability to identify patterns across reviews, summarize in a report, and generate actionable data-driven recommendations
- Communication: Proactive, comprehensive, clear, and concise (a)synchronous communication
- Technology Use: Proficient in key technology applications (e.g., MacBook, Slack, Google Suite, UM review tools)
- Leadership: Go-to resource for peers on best practices, and drives continuous improvement across the UM team
- Ownership: Takes ownership of work and is a self-starter
- Agility: Comfort operating in a fast-paced startup environment
- Perspective on AI: Passion for and conceptual understanding of how AI can be used to optimize UM
- Entrepreneurial: Natural inclination to look for ways to improve the status quo
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
The salary range for this position is $75,000 to $85,000 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.
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What the Team is Saying
Cohere Health Compensation & Benefits Highlights
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Healthcare Strength — Medical, dental, vision, life and disability insurance, plus an Employee Assistance Program, are explicitly offered, with posted plan documents indicating active benefits administration. HSA/FSA options and ancillary coverage (such as pet insurance) add breadth to the health and protection offering.
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Leave & Time Off Breadth — Approximately 184 hours of PTO per year plus company holidays are outlined, along with up to 14 weeks of paid parental leave. This combination signals substantial time-off and family support within the package.
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Retirement Support — A 401(k) with company match is advertised as part of the core offering. This provides a clear foundation for retirement savings as part of total rewards.
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What We Do
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs. Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.
Why Work With Us
Cohere Health brings together a community of healthcare and technology team members, passionate about changing the challenging parts of healthcare. If you enjoy solving challenging problems and learning about healthcare, then Cohere Health is a great career choice.
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Cohere Health Offices
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Employees work remotely.
Cohere employees work from 45 different states throughout the US - Cohere hosts retreats at our headquarters in Boston. ZignaAI, a Cohere Health Company, employees based in Hyderabad, India, work in-office 5 days a week.
