Payer Strategy Director

Company Overview:

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled.  That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

Opportunity Overview:

Cohere is looking for an experienced health technology strategist to join our growth team as we seek to expand to new payer clients. Reporting to the VP of Payer Solutions, you will be a key member of the growth function, leading the process to help prospects develop the strategy and business case for UM transformation.

You will be charged with quickly developing a deep understanding of our customers’ needs and Cohere’s market-leading platform, which includes both clinical and technology aspects. You will apply this understanding, together with your creative problem-solving and analytical skills, to support the sales function by developing compelling business cases for complex enterprise software partnerships. Your role as the glue between Cohere’s commercial and operational functions (e.g., product, clinical transformation, client experience, operations, etc.) will ensure that customer needs/requirements are translated seamlessly to proposals, statements of work, and to the teams charged with implementation.  

If you are passionate about deploying technology-driven solutions to enhance patient experience, drive clinical excellence, and achieve healthcare operational efficiencies, we want to hear from you.

Last but not least: People 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.

What you will do:

• Become an expert on market and technology trends impacting utilization management and related clinical functions within health plans (e.g., care management, digital health, value-based care, interoperability, etc.)
• Engage with payer executives as a thought partner, advising them on market trends, best practices, and opportunities to drive more business value from their UM function
• Serve as a Cohere SME on sales calls with payer executives, capable of leading demonstrations and speaking to the value and differentiation of the Cohere platform
• Apply expertise to develop thought leadership content that helps clients shape their UM transformation agendas
• Contribute to growth function by identifying opportunities to improve our internal processes and deliverables to build a scalable and high impact sales model
• Lead consultative process to help prospects develop the strategy and business case for UM transformation:
  • Collaborate with sales executives and prospects to understand prospective customers’ business, clinical, technical, and compliance needs
  • Collaborate with product, clinical programs, operations, and integrations team to recommend Cohere solutions for the client’s needs
  • Collaborate with actuarial team to quantify savings for prospective clients
  • Prepare executive presentations for prospective customers
  • Project manage cross-functional proposal / pricing process
  • Ensure client buy-in and internal sign-off on proposal documents
  • Draft statements of work to appropriately reflect client requirements and Cohere capabilities
  • Partner with solution architecture and implementation teams to ensure requirements translate into build plan

Your background & Requirements:

• Bachelor's degree.  Graduate degree in relevant field (e.g., MBA, MPH, etc.) preferred
• 7-10 years of experience in similar role for a health-tech company, healthcare consulting, or health plan
• Deep experience selling into, or working with, health insurance plans across different lines of business
• Understanding of health plan technology systems and workflows
  (e.g., core claims platforms, CM/UM systems, claims data, analytics, etc.)
• Exceptional verbal and written communications skills
• Demonstrated problem-solving and analytical ability. Experience with financial analysis and return on investment modeling
• Customer-orientation and start-up ready mindset; comfortable with ambiguity
• Highly collaborative and experience participating in team-led sales models 
• Experience working with cross-functional teams; project management experience a plus
• Willing to travel to prospect meetings

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.

The salary range for this position is $175,000 to $190,000 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.

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