Cohere Health
Clinical Policy Configuration Specialist
United States · Mid
Sponsorship not specified$65k-$80kDetected 1 day ago
Data StructuresAgentic AIJiraConfluenceExcelRecruitingICD-10CollaborationMicrosoft Office
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odds of building a lasting career here
39Risky
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70
Thin sponsorship signal and lottery-bound (~15% per draw). A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
Lottery odds assume a STEM candidate.
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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.
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About the role
- We are seeking a Clinical Policy Configuration Specialist to join our Clinical Operations team.
- In this role, you will ensure medical coverage policies are accurately configured, maintained, and compliant within Cohere's platform, directly supporting high-quality, consistent clinical decision-making.
Responsibilities
- Conduct quality assurance reviews and testing of policy configurations to validate functionality and clinical appropriateness.
Requirements
- Must be knowledgeable of multiple software programs (Microsoft Word, Excel, Google Drive, Confluence, Jira)
- Strong attention to detail with experience in quality assurance and validation processes.
- You are self-directed, confident, and thrive working in a fast-paced startup environment
- Bachelor's Degree in Nursing (BSN) or equivalent clinical background
- 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 $65,000 to $80,000 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 $65,000 to $80,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus.
- Configure and maintain medical coverage policies within Cohere's product platform to ensure accuracy, consistency, and compliance with industry standards.
- 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.
- Collaborate cross-functionally with clinical experts, product managers, engineers, medical writers, and utilization management reviewers to optimize policy implementation and usability.
- 2+ years of related experience working in utilization management, medical policy development, health technology assessment, or payer policy configuration.
- Strong understanding of medical coverage policies and prior authorization criteria.
Company info
- Opportunity Overview: We are seeking a Clinical Policy Configuration Specialist to join our Clinical Operations team.
- We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.
- Ability to work independently and as part of a team
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.