coherehealth
Lead RN Reviewer
At a Glance
- Location
- United States
- Work Regime
- remote
- Experience
- 1–2 years
- Compensation
- ry range for this position is $35 to $37 hourly; as part of a total be
- Posted
- 2026-07-29T17:55:01-04:00
Key Requirements
Domain Knowledge
- Healthcare
- Insurance
Benefits & Perks
kage which includes health insurance, 401k and bonus. In accordance with sta
Requirements
5+ years in healthcare, managed care, or insurance-related roles
A current, active RN license (BSN preferred)
Utilization Management experience required
Comfort interpreting operational data and metrics to identify process improvements
A kind, patient, and flexible leadership style suited for a remote, fast-paced environment
Responsibilities
Gain a deep understanding of Cohere’s product and our health plan partners
Provide general supervision over the nursing staff.
Coordinates and provides day-to-day oversight and direction to clinicians
Assist in addressing any case escalations or provider issues
About the Company
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.