Company Overview: 

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience. Founded in August 2019, we are obsessed with eliminating wasteful friction in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications. We build software designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles.

We deploy a multi-dimensional engagement model that utilizes Cohere Care Paths to ensure provider decisions are aligned with standards of care and drive optimal outcomes for every patient. We also incorporate proven interventions to unlock further improvements in experience and quality and achieve our clients’ value objectives.

Opportunity Overview:

Cohere’s Clinical Programs team is responsible for conceiving, designing, developing, and continuously refining clinical specialty programs that reduce medical expenses, reduce provider burden, and optimize care. Clinical programs utilize data and technology to shift utilization management from a transactional experience to one that drives personalized care for patients and value for those who care for them. 

Cohere’s MSK clinical programs align patient, provider, and payer needs and ensures that the right care is delivered at the right time across a variety of orthopedic procedures and therapies. Launched in 2021 and rapidly growing with new and existing clients, MSK programs leverage Cohere’s portfolio of interventions to influence care decisions toward clinically appropriate care.

Reporting to the VP, Clinical Programs, the Sr. Director, MSK Clinical Programs is a crucial role in our organization to launch and optimize MSK offerings for health plan and risk-bearing clients that achieve clinical and business goals. This is a highly cross-functional role and will be directly supported by a team of Program Managers. The successful candidate will be skilled in balancing clinical and operational needs, deriving data-driven insights, problem solving, building internal and external relationships, and rolling up their sleeves to achieve MSK program results.

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:

• Own the strategy, goals, launch, and continuous improvement for MSK clinical programs aimed at managing cost trends and improving health outcomes
• Collaborate cross-functionally with Medical, Trend Innovation, Clinical Analytics, PaaS, Product, Operations, and other teams to design and execute MSK clinical programs 
• Develop and manage relationships with external clients, clinical partners, and business partners, in collaboration with Business Development and Strategic Accounts leaders
• Establish and communicate goals of MSK solutions and partnerships, monitor outcomes, and lead initiatives for clinical and business optimization
• Lead a small team of direct reports supporting assigned clinical programs
• Responsibility for additional clinical specialty areas may be included in this role’s scope of responsibility as Cohere grows

Your competencies:

• Proven track record of conceiving, executing, and driving success in tech-enabled MSK solutions with health plans, risk-bearing entities, or utilization management vendor 
• Deep expertise in MSK solutions and competitive landscape, economic drivers, and clinical needs
• Effective people leadership, including coaching, delegating, and providing actionable feedback
• Strong ability to initiate and maintain internal cross-functional and external client / partner relationships to problem solve and deliver on goals
• Excellent written and verbal communication skills, including developing and delivering executive-level presentations, tailoring communication styles to internal and external audiences, and exhibiting a high level of executive presence
• Demonstrated success in leveraging data to drive strategies and solutions
• Flexible and agile working style, skilled working in remote environments, self-directed, and operates with a sense of urgency
• Process oriented, with ability to design new processes where needed for efficiency, organization, and alignment
• Strong understanding of the Medicare and commercial insurance industry, including value-based risk models
• Strong focus on continuous process improvement

Your qualifications:

• Bachelor's degree required (Preferred: MPH or an advanced degree in healthcare-related discipline, MBA, MD, or nursing degree)
• 10 years experience in the areas of utilization management, clinical programs, and/or care management 
• 5 years of experience leading direct reports with demonstrated ability to recruit and manage a high-performing team
• 5 years of experience at a health plan, risk-bearing entity, or utilization management vendor leading MSK solutions that address administrative expenses, medical expenses and patient outcomes
• Experience launching and scaling new tech-enabled healthcare products or services

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.

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