Account Manager, Delivery Solutions

Opportunity Overview:

Cohere’s Provider & User Management team ensures a proactive, supportive, and partner-oriented experience for healthcare providers across our health plan clients’ networks. As an Account Manager, Delivery Solutions, you will manage a portfolio of provider practices and health systems, serving as a trusted partner and primary point of contact for questions, escalations, and program support.

What you’ll do:

• 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.

What you’ll need:

• Bachelor’s degree required; PMP or similar project management certification preferred.
• 3+ years of experience in the healthcare industry in roles such as account management, client services, provider relations, network operations, or network development.
• Experience working with government healthcare programs (e.g., CMS), including engagement with provider and/or member populations.
• Familiarity with Medicaid and Medicare environments, managed care models, and prior authorization processes.
• Strong relationship-building, communication, and negotiation skills, with the ability to translate complex policy or process into provider-friendly language.
• Analytical mindset with experience interpreting provider performance, compliance, and engagement data using tools such as Excel or other Microsoft applications.
• Demonstrated ability to manage multiple priorities and projects across a large provider portfolio in a fast-paced environment.
• Willingness and ability to travel up to ~35% within the mid-Atlantic region.

Pay & Perks:

• 💻 Fully remote opportunity with about 35% travel
• 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
• 📈 401K retirement plan with company match; flexible spending and health savings account
• 🏝️ Up to 184 hours (23 days) of PTO per year + company holidays
• 👶 Up to 14 weeks of paid parental leave
• 🐶 Pet insurance

Interview Process:

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Team Interview
• Executive Interview

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.