Cohere Health
Clinical Training & Quality Specialist
$70K–$78K
United States · Full-time · Posted Sep 3, 2026
- Experience
- 2+ years experience in the process of Coverage Determinations in Healthcare
About the job
Implements clinical quality audits and training programs, using findings to improve clinical decision-making, operational performance, and workflow readiness.
What you'll do
- Audit clinical decisions against guidelines, report quality trends, and recommend improvements.
- Develop coaching, training, SOPs, and job aids for Clinical Operations teams.
- Partner across teams to operationalize workflow changes and support quality and compliance.
What they ask for
- Active RN Licensure
- 2+ years experience in the process of Coverage Determinations in Healthcare
- Knowledge of NCQA and CMS standards for Utilization Management Authorization decisions
- Knowledge of LCD/NCD Coverage Determination
Nice to have
- Google Workspace (Sheets, Docs, Forms), including pivot tables and charts or dashboards
- Experience with performance trend analysis, quality management systems, structured QA audits, or coaching
Pay
$70,000 to $78,000 annually (base salary)
Tools
Google Workspace, Sheets, Docs, Forms
Model-written summary · the original posting is authoritative