Commercial Strategy Manager, Risk & Quality

Opportunity Overview:

We are seeking a dynamic and entrepreneurial Commercial Strategy Manager to oversee the execution of bringing emerging solutions to market for our Quality and Risk solutions with Health Plan clients. The work you do will have a direct impact on the incubation, evolution, and expansions of new products and service lines. 

You should apply for this role if you are a self-starter and bring an ownership mentality to your work - you thrive in a cross-functional environment and in partnership with the VP of Commercial Strategy can lead the day-to-day delivery and expansion of these solutions in collaboration with cross-functional partners and in service to our clients.  

You love getting into data, building models and analyses that give you clarity on what is happening, so that you understand the problem well and can craft a strong strategy and plan to address it.  You value rapid execution, and can quickly iterate based on feedback.  You are great at communicating, highly value simplicity, and are constantly coming up with new ideas and constantly have new ideas on things that could be better in the world.

What you’ll do:

• Develop new product and solution ideas that expand the value Cohere delivers to customers and patients
• Track program performance and delivery, ensuring clients are deployed and client value is realized. Manage timelines, resources, and operational dependencies on projects you own.  
• Develop ad-hoc analyses to inform the product roadmap, internal investments, and support the executive team in strategic business decisions
• Customer-facing, capable of thinking on your feet, presenting to external audiences, and taking a consultative approach with clients
• Detail oriented in analyses, but equally capable to pull up and see the big picture
• Excellent at distilling signal from noise;  Capable of quickly synthesizing large amounts of information to the root of what is actually going on

What you’ll need:

• Bachelor’s degree in Business Administration, Healthcare Management, or a related field. Master’s degree or MBA are a plus.
• 5+ years of experience working in health-tech startup, top-tier consulting firm, big-tech, or similar environment
• Proven track record of managing large-scale, complex projects with cross-functional teams including client delivery and execution or product solution delivery.
• Superb leadership, active listening, and communication skills (writing, speaking, presenting); humble, credible and influential with a wide variety of cross-functional stakeholders including team, users, prospects/customers and partners.
• Analytical mindset with the ability to solve complex problems.

Bonus Points:

• Strong understanding of Risk Adjustment (RAF/HCC models) and Quality (Stars,HEDIS). 
• Experience in healthcare analytics and insights 
• Experience working with Medicare Advantage, ACA, Medicaid, etc. 
• Knowledge of NCQA HEDIS guidelines, CMS STARS specifications, and risk adjustment.
• Experienced with data and technology; strong understanding of how technology businesses operate and ability to communicate them simply 

Pay & Perks:

💻 Fully remote opportunity with about 15% 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  

The salary range for this position is $120,000 to $140,000 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)
4. Case Study

*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.

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.

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