Account Manager, Delivery Solutions

3+ years of experience in the healthcare industry in roles such as account management, client services, provider relations, network operations, or network development.

Familiarity with Medicaid and Medicare environments, managed care models, and prior authorization processes.

Analytical mindset with experience interpreting provider performance, compliance, and engagement data using tools such as Excel or other Microsoft applications.

Serve as the primary point of contact for an assigned portfolio of provider practices and health systems, delivering education, training, communications, and ongoing support to ensure successful engagement with Cohere programs and workflows.

Act as the liaison between Cohere and providers participating in government-sponsored health plans, addressing platform and administrative questions, supporting provider training, and ensuring alignment with payer requirements and regulatory obligations.

Manage and resolve provider escalations, including grievances or disagreements related to clinical guidelines, coordinating closely with internal clinical, compliance, legal, and operational teams.

Lead provider onboarding, program implementation, and workflow transition efforts, guiding practices through new processes, platform enhancements, and regulatory-driven changes to ensure successful adoption.

Proactively engage providers through targeted outreach, education, and best-practice sharing to improve adherence, increase auto-approval rates, and optimize prior authorization workflows.

Monitor portfolio performance using reporting and scorecards to identify risks and opportunities to improve clinical quality, reduce manual review of authorization requests, and support provider success.

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, 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.