Cohere Health

Cohere Health

Clinical Integrity Manager

United States · Senior

Sponsorship not specified$96k-$125kDetected 7 days ago
Agentic AIProduct ManagementAgileProcess ImprovementRecruitingLeadershipCollaboration

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odds of building a lasting career here

50Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds (Level II)66
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~30% per draw at Level II). 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 expertise in Utilization Management (UM) to join Cohere Health as the Manager, Clinical Integrity.
  • The Manager executes clinical governance activities while contributing to innovation through hands-on automation testing, workflow optimization, and responsible adoption of AI-enabled solutions.

Responsibilities

  • Perform clinical reviews of our product, workflows, and programs to ensure they align with evidence-based practice, regulatory requirements, and client expectations
  • Write and refine clinical requirements, user stories, and acceptance criteria for UM workflows, clinical decision support, and AI-enabled capabilities - and represent clinical integrity directly in sprint planning and design sessions with Product and Engineering
  • Own operational readiness: run hands-on UAT, build test scripts and scenarios, document defects, and track readiness status for releases and client implementations
  • Audit client commitments and SLAs against current product capabilities, flag gaps, and drive remediation
  • Build and maintain governance documentation, SOPs, playbooks, and training materials that keep clinical workflows consistent across all lines of business
  • Partner cross-functionally with Clinical Operations, Product, Engineering, Client Success, Compliance, Legal, and Clinical Strategy as the day-to-day point of contact for clinical integrity
  • Support business growth by contributing clinical assessments, RFP/RFI responses, and feasibility reviews for prospective clients
  • Comfortable with hands-on execution: writing documentation, testing workflows, building process tools, and managing the details
  • A strong communicator who can build trust and influence stakeholders across functions without formal authority

Requirements

  • Strong knowledge of Medicare Advantage, Medicaid, Commercial, and Marketplace UM, along with CMS regulations, NCQA accreditation, and delegation oversight
  • 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 $96,000 to $125,000 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 $96,000 to $125,000 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 expertise in Utilization Management (UM) to join Cohere Health as the Manager, Clinical Integrity.
  • We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.

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.