Cohere Health
Clinical Policy Configuration Specialist
$65K–$80K
United States · Full-time · Posted May 18, 2026
- Experience
- 2+ years of related experience in utilization management, medical policy development, health technology assessment, or payer policy configuration.
- Education
- Bachelor's Degree in Nursing (BSN) or equivalent clinical background.
About the job
Configures, maintains, and validates medical coverage policies in Cohere’s platform to support accurate, compliant clinical decision-making.
What you'll do
- Configure, maintain, and test policy configurations for accuracy, clinical appropriateness, and compliance.
- Track policy updates and advise internal teams and customers on policy configuration questions and feedback.
- Collaborate with clinical, product, engineering, and operations teams to improve policy implementation and usability.
What they ask for
- Strong understanding of medical coverage policies and prior authorization criteria.
- Familiarity with healthcare data structures and clinical coding (ICD-10, HCPCS, CPT).
- Knowledge of Microsoft Word, Excel, Google Drive, Confluence, and Jira; experience with quality assurance and validation processes.
- Bachelor's Degree in Nursing (BSN) or equivalent clinical background.
Pay
$65,000 to $80,000 annually; base salary
Tools
ICD-10, HCPCS, CPT, Microsoft Word, Excel, Google Drive, Confluence, Jira
Model-written summary · the original posting is authoritative