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Job details

Manager, Clinical Operations

Cohere Health is looking for a Manager, Clinical Operations to lead and develop the Reviewer team. The company leverages AI and deep clinical expertise to provide patient-specific care options, supporting healthcare partners throughout their lifecycle.

Skills

  • Excellent computer skills
  • Strong leadership capabilities
  • Knowledge of NCQA/CMS requirements
  • Familiarity with MCG and CMS NCDs/LCDs

Responsibilities

  • Oversee the Nurse Reviewers and Appeals Specialists teams
  • Mentor and develop team members
  • Manage daily operational reports and ensure performance metrics are met
  • Lead team meetings and communication
  • Capture process efficiency ideas and implement necessary changes

Education

  • Registered Nurse with a valid license
  • Supervisory or management experience in healthcare

Benefits

  • Health insurance
  • 401k
  • Bonus structure
To read the complete job description, please click on the ‘Apply’ button
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Cohere Health will simplify healthcare by enabling patients, physicians, and health plans to collaborate on getting the right care -- at the right time, at the right place, and with the right value. Our focus is to enable an efficient, transparent...

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BENEFITS & PERKS
Disability Insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Vision Insurance
Performance Bonus
Paid Holidays
FUNDING
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
SALARY RANGE
$80,000/yr - $105,000/yr
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
August 16, 2024

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