Cohere Health

Drive strategic and operational change through identifying risks and inefficiencies, delivering data-driven insights, designing process and technology solutions, and establishing governance to enable scalable growth and performance improvement. | 5+ years in business transformation or related roles, deep healthcare workflow and regulatory knowledge, strong analytical and problem-solving skills including data visualization, and experience collaborating with Product, Compliance, and Operations teams. | Opportunity Overview: The Senior Transformation Analyst is a key driver of strategic and operational change across the organization. This role is responsible for identifying critical compliance risks, operational inefficiencies, and opportunities for transformation that enable scalable growth and sustainable performance improvement. Partnering closely with Product, Operations, and Compliance teams, the analyst delivers data-driven insights, designs process and technology solutions, and helps establish the metrics and governance structures needed to drive measurable, lasting transformation. This position combines analytical rigor, strategic thinking, and change management expertise to translate business challenges into actionable, high-impact initiatives. What you’ll do: • Business Transformation & Strategy Execution • Assess current-state operations, define strategic priorities, and drive cross-functional transformation aligned to leadership goals. • Develop business cases, roadmaps, and implementation plans to support scalable, efficient, and customer-focused change. • Compliance Risk Management & Governance • Identify compliance gaps, operational risks, and workflow vulnerabilities across business processes and systems. • Embed controls, policies, and monitoring mechanisms into technology and operations to ensure adherence and continuous improvement. • Process Improvement & Operational Excellence • Lead Lean/Six Sigma-style process analysis to uncover inefficiencies and design streamlined workflows. • Implement standardized frameworks, documentation, and procedures to support scalability, accountability, and operational efficiency. • Metrics, Insights & Performance Tracking • Define KPIs and success metrics for transformation initiatives; build dashboards and reporting for leadership visibility. • Translate data into meaningful insights that guide strategic decisions and improvement opportunities. • Change Management & Implementation • Support end-to-end implementation of transformation initiatives, including execution, communication, and post-launch optimization. • Drive stakeholder adoption through training, enablement, feedback loops, and ongoing refinement of solutions. What you’ll need: • 5+ years of experience in business transformation, strategy execution, process improvement, or operational excellence roles. • Deep understanding of healthcare workflows, regulatory requirements, and digital transformation best practices • Strong analytical and problem-solving skills with experience in process mapping, business analysis, and data visualization (Power BI, Tableau, Excel, SQL). • Experience working with Product, Compliance, and Operations teams to align technology solutions with business needs. • Bachelor’s degree in Business, Strategy, Operations Management, or related field, or similar years of relevant experience. Pay & Perks: 💻 Fully remote opportunity with about 5% 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 $95,000 to $110,000 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. Interview Process*: • Connect with Talent Acquisition for a Preliminary Phone Screening • Meet your Hiring Manager! • Technical Interview • Executive Interview • Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. The Coherenauts, as we call ourselves, 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. 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. #LI-Remote #BI-Remote

Assess operations, lead transformation initiatives, identify compliance gaps and risks, and define KPIs for improvement. | 5+ years in business transformation or operational roles, healthcare knowledge, process mapping and data visualization skills, collaboration experience, and relevant bachelor's degree or equivalent. | A company is looking for a Senior Operational Transformation Analyst. Key Responsibilities • Assess current operations and drive cross-functional transformation aligned with strategic priorities • Identify compliance gaps and operational risks, embedding controls and monitoring mechanisms • Lead process improvement initiatives and define KPIs for transformation efforts Required Qualifications • 5+ years of experience in business transformation, strategy execution, or operational excellence roles • Deep understanding of healthcare workflows and regulatory requirements • Experience in process mapping, business analysis, and data visualization tools • Experience collaborating with Product, Compliance, and Operations teams • Bachelor's degree in Business, Strategy, Operations Management, or related field, or equivalent experience

Lead enterprise-wide transformation initiatives to improve operational efficiency, automation, and process optimization, managing a team and collaborating cross-functionally to deliver measurable business impact. | 10+ years leadership in healthcare or health tech transformation, deep understanding of healthcare workflows and regulations, proven success in automation programs, strong analytical and financial skills, expertise in continuous improvement methodologies, and a bachelor's degree. | Opportunity Overview: The Senior Director of Transformation will lead enterprise-wide initiatives that drive operational efficiency, automation, and process optimization across our operational teams. This role will serve as a strategic thought partner to executive leadership—identifying, designing, and executing transformational programs that enhance scalability, increase automation, reduce waste, and improve outcomes for patients, providers, and partners. The ideal candidate is equally comfortable presenting strategy to executives and diving deep into operational details—translating business requirements into scalable, technology-enabled processes that meet clinical, regulatory, and client standards. What you'll do: • Strategic Leadership: • * Develop and execute a multi-year transformation roadmap aligned with company growth objectives and digital automation priorities • Partner with executive leaders to identify and prioritize operations transformation opportunities across clinical, operational, and technology domains • Manage a team of three direct reports spanning Analyst, Strategic Operations, and Client Operations roles, providing clear direction, coaching, performance management, and professional development support • Operational Excellence & Automation: • * Lead initiatives to streamline workflows, automate repetitive processes, and optimize resource utilization using AI, RPA (Robotic Process Automation), and advanced analytics • Partner with technology, data science, and product teams to design scalable automation solutions that enhance productivity and accuracy • Change Management: • * Drive a culture of continuous improvement through structured change management, training, and stakeholder engagement • Champion innovation by promoting agile methodologies and empowering cross-functional teams to adopt new tools and processes • Performance & Impact Measurement: • * Establish KPIs and success metrics for transformation initiatives, ensuring transparency and accountability • Monitor progress, remove barriers, and deliver measurable ROI tied to efficiency gains and cost savings • Cross-Functional Collaboration: • * Collaborate closely with Operations, Clinical, IT, Finance, and HR to ensure alignment and integration of transformation efforts • Serve as an internal consultant and advisor to senior leaders on best practices in automation, process improvement, and organizational transformation What you'll need: • 10+ years of progressive leadership experience in healthcare, health tech, or enterprise operations transformation • Deep understanding of healthcare workflows, regulatory requirements, and digital transformation best practices • Proven track record of leading large-scale automation and efficiency programs across complex, matrixed organizations • Strong analytical and financial acumen with the ability to quantify impact and deliver business value • Expertise in Lean, Six Sigma, Agile, or similar continuous improvement methodologies • Exceptional communication, executive presence, and stakeholder management skills • Bachelor's degree Pay & Perks: Fully remote opportunity with about 5% 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 $170,000 to $190,000 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. Interview Process*: • Connect with Talent Acquisition for a Preliminary Phone Screening • Meet your Hiring Manager! • Behavioral Interview • Executive Interview • Subject to change About Cohere Health: Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health's innovations continue to receive industry wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. The Coherenauts, as we call ourselves, 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. 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. #LI-Remote #BI-Remote

Lead and build a new cross-functional communications function overseeing strategy, governance, automation, and quality assurance for healthcare review communications. | 7+ years healthcare operations experience, 5+ years leadership in multi-disciplinary teams, expertise in healthcare regulations, automation technologies, and strong communication skills with a master's degree preferred. | Opportunity Overview: Cohere is seeking a UM Correspondence Director to establish and lead a new cross-functional capability responsible for the end-to-end management of all provider and member review communications. This includes the creation, standardization, automation, and quality assurance of all review related communications (including fax, email, letters, phone, VAT) across lines of business. As this is a new function, the Director will serve as both architect and operator—creating structure where ambiguity exists today. They will define governance, metrics, and workflows, while building strong relationships across Compliance, Clinical, Technical Services, Product, and Client Success. This position will provide the strategic vision for communications governance and automation, while also managing the operational details needed to ensure accuracy, compliance, and efficiency. The ideal candidate is equally comfortable presenting strategy to executives and diving deep into operational details—translating business requirements into scalable, technology-enabled processes that meet clinical, regulatory, and client standards. What you'll do: Strategy & Leadership: • Create and guide the Review Communications function, including vision, structure, and standards • Build clear governance frameworks to ensure consistent tone, language, and quality • Identify opportunities for automation and improved efficiency across communication workflows • Provide direction and alignment across key teams involved in the communication process Cross-functional Collaboration: • Translate business needs into clear requirements for communication templates, workflows, and tools • Partner with Product, Technical Services, Clinical, Compliance, and Vendor teams to deliver accurate, compliant, and scalable communication solutions • Work closely with Client Success to address escalations and ensure strong client satisfaction Execution & Oversight: • Oversee the end-to-end process for creating, testing, approving, and deploying communications • Establish and maintain QA standards to ensure accuracy, audit readiness, and consistency • Monitor performance, vendor outcomes, and key quality metrics to drive continuous improvement • Mentor teammates and partners to promote transparency, accountability, and high-quality execution What you'll need: • 7+ years of experience in healthcare operations, payer/provider communications, or utilization management • 5+ years in a leadership role overseeing multi-disciplinary or matrixed teams • Proven track record of building new functions and creating operational structure in ambiguous environments • Understanding of healthcare regulatory and accreditation requirements (CMS, NCQA, URAC) • Strong ability to translate complex business requirements into clear, actionable specifications for technical and operational teams • Experience with automation technologies, letter management systems, and workflow platforms • Exceptional communication and stakeholder management skills; able to influence without direct authority • Demonstrated success in process improvement, QA, and audit readiness • Master's degree in healthcare administration, business, or related field preferred Pay & Perks: Fully remote opportunity with about 10% 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 $150,000 to $165,000 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. Interview Process*: • Connect with Talent Acquisition for a Preliminary Phone Screening • Meet your Hiring Manager! • Behavioral Interview • Executive Interview • Subject to change About Cohere Health: Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health's innovations continue to receive industry wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. The Coherenauts, as we call ourselves, 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. 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. #LI-Remote #BI-Remote

Monitor, analyze, and respond to security threats while conducting vulnerability assessments and collaborating with teams to implement security controls. | 3+ years in cybersecurity roles with strong knowledge of security frameworks, tools, incident response, and excellent communication skills. | Job Title: Security Analyst Company Overview: Cohere Health is a fast-growing clinical intelligence company dedicated to improving lives at scale by promoting the best patient-specific care options. Leveraging leading-edge AI combined with deep clinical expertise, Cohere Health has rapidly become a trusted partner in the healthcare industry, with solutions adopted by numerous health insurance providers within just four years. Role Overview: As a Security Analyst at Cohere Health, you will play a critical role in safeguarding our digital assets and ensuring the integrity of our clinical intelligence platforms. You will work closely with cross-functional teams to identify vulnerabilities, monitor security threats, and implement robust security measures that protect sensitive healthcare data. What You'll Do: - You will monitor and analyze security alerts to detect and respond to potential threats in real-time. - You will conduct regular vulnerability assessments and penetration testing to identify and mitigate risks. - You will collaborate with IT and development teams to design and implement security controls and best practices. - You will investigate security incidents and lead root cause analysis to prevent future occurrences. - You will maintain and update security policies, procedures, and documentation to ensure compliance with industry standards. - You will stay current with emerging cybersecurity trends and technologies to proactively enhance our security posture. - You will assist in security awareness training for employees to foster a culture of security mindfulness. What You Bring: - You have 3+ years of experience in cybersecurity or information security roles. - You possess strong knowledge of security frameworks such as NIST, ISO 27001, or CIS Controls. - You are proficient with security tools including SIEM, IDS/IPS, vulnerability scanners, and endpoint protection. - You have experience with incident response, threat hunting, and forensic analysis. - You demonstrate excellent analytical and problem-solving skills with attention to detail. - You have effective communication skills to convey complex security concepts to technical and non-technical stakeholders. Bonus Points If You Have: - Experience working in the healthcare or clinical technology sector. - Certifications such as CISSP, CISM, or CEH. - Familiarity with cloud security platforms like AWS, Azure, or Google Cloud. - Knowledge of regulatory requirements such as HIPAA and GDPR. What We Offer: - We offer a dynamic and inclusive work environment that fosters innovation and collaboration. - We offer competitive salary and comprehensive benefits including health, dental, and vision insurance. - We offer opportunities for professional growth and continuous learning. - We offer flexible work arrangements to support work-life balance. - We offer the chance to make a meaningful impact on healthcare through cutting-edge technology. Ready to Apply? Please submit your resume and a cover letter detailing your relevant experience and why you are excited to join Cohere Health. We look forward to hearing from you!

Monitor security systems, conduct vulnerability assessments, respond to incidents, and collaborate on security protocols to protect healthcare data. | 3+ years in cybersecurity, proficiency with security tools, knowledge of healthcare compliance, and strong analytical and communication skills. | Job Title: Security Analyst Company Overview: Cohere Health is a fast-growing clinical intelligence company dedicated to improving patient outcomes by leveraging advanced AI technology combined with deep clinical expertise. Our innovative solutions have been widely adopted by health insurance providers, enabling more personalized and effective care options for patients nationwide. Role Overview: As a Security Analyst at Cohere Health, you will play a critical role in safeguarding our digital assets and ensuring the integrity of our clinical intelligence platforms. You will work closely with cross-functional teams to identify vulnerabilities, monitor security threats, and implement robust security measures to protect sensitive healthcare data. What You'll Do: - You will monitor security systems and analyze potential threats to prevent data breaches. - You will conduct regular vulnerability assessments and penetration testing. - You will collaborate with IT and development teams to design and implement security protocols. - You will respond promptly to security incidents and coordinate remediation efforts. - You will maintain up-to-date knowledge of cybersecurity trends and regulatory requirements. - You will develop and deliver security awareness training for employees. - You will assist in the creation and enforcement of security policies and procedures. - You will document security incidents and prepare detailed reports for management. What You Bring: - You bring 3+ years of experience in cybersecurity or information security roles. - You have strong knowledge of network security, firewalls, and intrusion detection systems. - You are proficient with security tools such as SIEM, IDS/IPS, and vulnerability scanners. - You possess a solid understanding of HIPAA and other healthcare compliance standards. - You have excellent analytical and problem-solving skills. - You demonstrate effective communication skills to work with technical and non-technical stakeholders. Bonus Points If You Have: - Experience working in the healthcare or clinical technology sector. - Certifications such as CISSP, CISM, or CEH. - Familiarity with cloud security platforms like AWS or Azure. - Knowledge of scripting languages for automation (e.g., Python, PowerShell). What We Offer: - We offer a dynamic and inclusive work environment focused on innovation and growth. - We offer competitive salary and comprehensive health benefits. - We offer opportunities for professional development and certification support. - We offer flexible work arrangements including remote work options. - We offer a collaborative culture that values your contributions and ideas. Ready to Apply? Please submit your resume and cover letter through our careers page at www.coherehealth.com/careers. We look forward to learning how you can contribute to our mission of transforming healthcare through technology.