Cohere Health

Cohere Health

Clinical Integrity Director

United States · Director

Sponsorship not specified$160k-$180kDetected 7 days ago
Agentic AIProcess ImprovementRecruitingOnboardingLeadershipCommunicationCollaborationProblem Solving

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odds of building a lasting career here

61Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds (Level IV)94
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.

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Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

1 transfer filing in the last year, covering 1 worker. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • We are seeking a technology-savvy clinical leader with strong Utilization Management (UM) expertise to join Cohere Health as the Clinical Integrity Director.
  • Reporting to the Vice President of Clinical Integrity, this role is a program-level operational leader responsible for managing the day-to-day integrity, governance, and readiness of Cohere's clinical programs and technology-enabled solutions.
  • The Director works across Clinical Operations, Product, Engineering, Client Success, and Compliance to ensure clinical integrity is operationalized consistently.

Responsibilities

  • Own and manage clinical integrity governance programs, including reviews, documentation, tracking, frameworks, checklists, and dashboards across all active programs
  • Manage the clinical impact assessment process for policy changes, product updates, and regulatory shifts - escalating findings to the VP as needed
  • Own the clinical requirements pipeline by managing intake, prioritization, and delivery of clinical requirements to Product and Engineering teams
  • Manage the end-to-end process for translating regulatory and clinical changes into product specifications, ensuring timelines and dependencies are tracked
  • Own the operational readiness program for product releases and client implementations, including timelines, milestones, and cross-functional accountability
  • Manage the clinical UAT process: assign testing, review results, triage defects, and ensure resolution before go-live
  • Develop and maintain readiness scorecards providing leadership with clear go/no-go visibility for each release or implementation
  • Manage preparation of clinical integrity materials for RFPs, RFIs, and client questionnaires
  • Lead clinical readiness activities for new client implementations and conduct feasibility assessments for prospective client requirements

Requirements

  • Strong knowledge of Medicare Advantage, Medicaid, Commercial, and Marketplace utilization management, as well as CMS regulations, NCQA accreditation standards, and state regulatory requirements
  • Demonstrated experience managing multiple concurrent workstreams and cross-functional projects involving Product, Engineering, and Operations teams in a fast-paced, technology-enabled environment
  • In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role.

Compensation

  • The salary range for this position is $160,000 to $180,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus.

Benefits

  • 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
  • 📈 401K retirement plan with company match; flexible spending and health savings account
  • 🏝️ Flex Time Off + company holidays
  • 👶 Up to 14 weeks of paid parental leave
  • The salary range for this position is $160,000 to $180,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus.
  • About Cohere Health:
  • 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.
  • Cohere Health's innovations continue to receive industry wide recognition.

Company info

  • Opportunity Overview: We are seeking a technology-savvy clinical leader with strong Utilization Management (UM) expertise to join Cohere Health as the Clinical Integrity Director.
  • We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.
  • This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.

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
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This listing is sourced directly from Cohere Health's careers page and normalized into a canonical job model.