Job Description

Opportunity Overview:

TheStrategic Operations Manager position is a crucial role in our organization as business needs change quickly — in this role you are responsible for managing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company.

The Payment Integrity Operations Delivery team is seeking an experienced, results driven Strategic Operations Program manager to coordinate and manage work, often cross functionally. In addition, this role will support strategy, process design, planning, implementation and management of new programs including key initiatives within Delivery Operations The role is highly collaborative, and you will be expected to create clarity in a complex organizational environment, generate energy through a bias towards action, and deliver results.

What you’ll do:

• Manage staff responsible for provider outreach to support audit operations
• Drive several work types across cross functional areas within Service Operations and external clients, leading the team members involved and able to clearly articulate a path forward and quickly align
• Design, execute and support change management to ensure inclusive, complete, successful implementation of new processes, programs and pilots
• Create process flows, policies & procedures, job aides playbooks and training material
• Focus team on risk remediation and opportunity identification with strong emphasis on solutions
• Perform adhoc strategy, research, modeling and analytics on projects to help guide decision making in an ever evolving business model
• Partner across the organization on an as needed basis to ideate, execute and perform data analysis on user experience utilizing an Operations viewpoint
• Build and cultivate relationships with cross-functional teams within the organization and with external partners
• Develop high quality decks and presentation materials for presentation to leadership on an as needed basis
• Anticipate bottlenecks, provide management escalation, prioritize and execute projects, balance business needs vs. technical constraints, ensure quality, and assist in driving results

What you’ll need:

• BS Degree
• 8+ Years Healthcare Operations experience in Claims, Payment Integrity or Contact Center/Production environment
• Demonstrated success and experience in large scale change management, process design, and/or business management roles
• Strong analytical experience working with healthcare (claim or audit preferred) datasets to draw actionable insights that drive business outcomes.
• Experience creating policies and procedures, FAQs, training guides, etc, that break complex processes and information into understandable and relatable terms.
• Ability to work and generate clarity in complex and ambiguous situations while responding to time sensitive situations with grace
• Proficient in process mapping tools such as Lucid Charts, Vizio
• Proven ability to work cross functionally to understand the business needs and create practical solutions and operational strategies that support those needs
• Intellectual curiosity with a strong desire to understand a problem and work it to a viable solution
• Passionate about continuous process improvement, always actively seeking out practical solutions to challenging business problems
• Payment Integrity experience preferred
• Experience with cross functional remote and offshore teams

Proficient in developing presentations that tell a complete story

• Passionate about continuous process improvement, always actively seeking out practical solutions to challenging business problems
• Intellectual curiosity with a strong desire to understand a problem and work it to a viable solution

Pay & Perks:

💻 Fully remote opportunity

🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program

📈 401K retirement plan with company match; flexible spending and health savings account

🏝️ Flex Time Off + company holidays

👶 Up to 14 weeks of paid parental leave

🐶 Pet insurance 

The salary range for this position is $105,000 - $115,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*Subject to change

About Cohere Health:

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.

At Cohere Health, Payment Integrity isn’t just about catching errors—it’s about transforming how healthcare dollars are spent to ensure accuracy, fairness, and better outcomes for everyone. By combining advanced analytics, clinical expertise, and cutting-edge technology, the team works at the intersection of healthcare and innovation to proactively identify opportunities, reduce waste, and strengthen trust between payers and providers. Joining this mission means being part of a forward-thinking organization that values curiosity, collaboration, and impact—where your work directly contributes to a more efficient healthcare system and helps ensure patients receive the right care at the right time and providers receive the right payment.

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.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement:

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.

#LI-Remote

#BI-Remote