Payer Strategy Director

Summary

Join Cohere Health, a rapidly growing clinical intelligence company, as a Health Technology Strategist. You will be a key member of the growth team, focusing on expanding to new payer clients. This role involves developing strategies and business cases for utilization management (UM) transformation, working closely with prospects and internal teams. You will leverage your expertise in health technology and payer markets to advise executives, create compelling presentations, and manage cross-functional proposal processes. Success in this position requires strong communication, analytical, and problem-solving skills, along with experience in health tech or healthcare consulting. Cohere offers a competitive salary and benefits package.

Requirements

• Bachelor's degree
• 7-10 years of experience in similar role for a health-tech company, healthcare consulting, or health plan
• Deep experience selling into, or working with, health insurance plans across different lines of business
• Understanding of health plan technology systems and workflows (e.g., core claims platforms, CM/UM systems, claims data, analytics, etc.)
• Exceptional verbal and written communications skills
• Demonstrated problem-solving and analytical ability. Experience with financial analysis and return on investment modeling
• Customer-orientation and start-up ready mindset; comfortable with ambiguity
• Highly collaborative and experience participating in team-led sales models
• Experience working with cross-functional teams; project management experience a plus
• Willing to travel to prospect meetings

Responsibilities

• Become an expert on market and technology trends impacting utilization management and related clinical functions within health plans (e.g., care management, digital health, value-based care, interoperability, etc.)
• Engage with payer executives as a thought partner, advising them on market trends, best practices, and opportunities to drive more business value from their UM function
• Serve as a Cohere SME on sales calls with payer executives, capable of leading demonstrations and speaking to the value and differentiation of the Cohere platform
• Apply expertise to develop thought leadership content that helps clients shape their UM transformation agendas
• Contribute to growth function by identifying opportunities to improve our internal processes and deliverables to build a scalable and high impact sales model
• Lead consultative process to help prospects develop the strategy and business case for UM transformation: Collaborate with sales executives and prospects to understand prospective customers’ business, clinical, technical, and compliance needs
• Collaborate with product, clinical programs, operations, and integrations team to recommend Cohere solutions for the client’s needs
• Collaborate with actuarial team to quantify savings for prospective clients
• Prepare executive presentations for prospective customers
• Project manage cross-functional proposal / pricing process
• Ensure client buy-in and internal sign-off on proposal documents
• Draft statements of work to appropriately reflect client requirements and Cohere capabilities
• Partner with solution architecture and implementation teams to ensure requirements translate into build plan

Preferred Qualifications

Graduate degree in relevant field (e.g., MBA, MPH, etc.)

Benefits

• Health insurance
• 401k
• Bonus