Clinical Programs Manager

Summary

Join Cohere Health as a Clinical Program Manager and play a crucial role in developing and optimizing innovative clinical programs. You will lead pilot and launch programs for new clients, ensuring cost and quality outcomes. This client-facing role requires strong communication and collaboration with various teams, including Medical Directors, Operations, and Client Success. The ideal candidate possesses a Bachelor's degree (MPH or MHA preferred), extensive health solutions experience, and a deep understanding of utilization management and healthcare data. This fast-paced role demands flexibility, strong leadership, and excellent communication skills. Cohere Health offers a competitive salary, benefits package, and a supportive work environment.

Requirements

• Bachelor's degree or BSN required
• 3+ years health solutions experience in health systems, health plans, or growth stage companies serving health systems or health plans
• Deep understanding of utilization management; expertise on inpatient acute hospital or outpatient patient flows, provider-payer workflows, and revenue cycle management
• 2-3 years of experience in Clinical Program piloting and implementation
• Deep understanding of healthcare data and excellent analytical abilities; comfort with Excel, Tableau, SQL
• High level of executive presence and proven track record interfacing with external key stakeholders to achieve performance objectives
• Excellent written and oral communication skills, including developing effective presentations and communicating expectations / accountability
• Demonstrated track record of delivery and continuous process improvement
• Strong leadership capabilities and ability to initiate and maintain cross-team relationships
• Proficient in using a Mac, Google applications, Jira, and Confluence

Responsibilities

• Support creation, development, and continuous optimization of innovative clinical programs that deliver cost and quality outcomes
• Support development of business cases justifying innovation opportunities
• Lead pilot and launch of clinical programs for new clients
• Design pilots enabling key learnings and risk mitigations; create, maintain, and enforce a detailed schedule for pilots; designate clear roles and responsibilities among stakeholders; regularly report progress and results to clients
• Collaborate with Medical Directors to act as clinical subject-matter experts and ensure clinical integrity of pilots and implementations
• Collaborate with Operations team to ensure pilots and launches are implemented on schedule and on budget
• Regularly communicate progress and results to internal and external stakeholders
• Facilitate client meetings by creating agendas and meeting content and maintaining and communicating detailed notes

Preferred Qualifications

MPH, MHA, or other healthcare-focused post-graduate degree

Benefits

• Health insurance
• 401k
• Bonus
• Remote work