Provider Success Manager New

Cohere Health; Northern (KY); On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Employee Assistance Program

401K with company match

Flexible spending account

Health savings account

Paid parental leave (14 weeks)

Remote work option

Travel ~35%

Job summary

Cohere Health is seeking a Provider & Client User Management Team professional to own the full lifecycle of provider and client user engagement—from onboarding through post go-live. You will coordinate education, communications, and platform guidance for a diverse provider network and health plan partners.

The role emphasizes regulatory alignment, proactive engagement, and improving auto-approval processes, with remote work and up to ~35% travel.

Qualifications

• 3-4 years of experience as an account manager, plus 3+ years of experience in healthcare, health plan, provider, or health tech environments.
• Direct experience working in a physician's office, provider practice, or clinical office setting (e.g., office manager, revenue cycle, patient access/claims, or clinic operations).
• Experience working with healthcare programs and direct engagement with provider and/or member populations.
• Strong communication skills with the ability to translate policy and process into provider-friendly language.
• Relationship-building and negotiation skills in regulated environments with a professional style.
• Analytical mindset for interpreting data on provider engagement, compliance, and performance; able to read Tableau dashboards and use Excel/Sheets for decisions.
• Ability to manage a large assigned practice portfolio and allocate effort to high-impact activities.
• Proactive, ownership-driven approach with strong problem-solving and time-management skills.
• Experience managing mid- to large-scale projects.
• Familiarity with Medicaid/Medicare, managed care, and prior authorization processes.
• Experience with Salesforce or other CRM tools, and Jira or Monday.com for project management.
• Experience working with healthcare provider data.
• Experience in onboarding program design or user experience optimization.
• Passion for delivering proactive, supportive, partner-oriented experiences.
• Willingness to travel up to ~35%.

Responsibilities

• Be the main point of contact for providers, supporting education, training, communications, and platform guidance.
• Address contracting or administrative questions and help practices optimize auto-approval rates.
• Act as an escalation point for grievances and high-touch needs.
• Lead program implementation from onboarding to ongoing engagement, ensuring CMS/state alignment and Cohere workflows.
• Maintain knowledge of regulatory requirements influencing prior authorization and utilization management.
• Partner with Compliance and Legal to surface risks or required communications.
• Identify non-adherence or performance trends and design outreach campaigns to drive behavior change.
• Share best practices to improve auto-approval performance and surface opportunities for improvement.
• Ensure provider interactions uphold HIPAA, privacy standards, and program integrity.
• Use reporting and scorecards to track portfolio health and surface improvement opportunities.
• Lead recurring check-ins, reviews, and calls to optimize approval rates and reduce denials/pends.
• Help practices optimize clinical protocols and workflows to reduce friction and increase auto-approvals.
• Share thought leadership with strategic partners and advise on Cohere configurations with financial/clinical goals.
• Recommend workflow improvements that accelerate reviews and ensure CMS/state DOH compliance.
• Assist with onboarding new client networks and provider groups at scale.
• Manage high-volume onboarding initiatives and periodic refresh trainings.

Skills

Account management

Healthcare experience

Provider onboarding

Communication

Project management

CRM tools

Tools

Salesforce

Jira

Monday.com

Tableau

Excel/Sheets

Job description

Cohere's Provider & Client User Management Team is responsible for ensuring consistent delivery of a proactive, supportive, and partner-oriented experience to an assigned portfolio of providers/practices and client users across our health plan partners' networks. The Provider Success Manager (PSM) is a critical role that leads the end-to-end execution of the provider and client user onboarding plan—from pre-implementation through post go-live—ensuring a seamless, high-quality user experience at every stage.

In this role, you will own the full lifecycle of provider and client user engagement: onboarding, training coordination, change enablement, and ongoing relationship management. You will serve as the connective thread between Cohere's internal teams (Onboarding, Training, Implementation, Client Success) and our health plan partners' training teams and provider experience teams to ensure every user—provider and client alike—has a great experience from day one and beyond.

As a PSM, you will deeply understand the provider and client user journey, anticipate friction points, and proactively drive solutions that support successful adoption, sustained engagement, and long-term partnership success.

What you’ll do:

Be the Main Point of Contact

• Serve as the go-to resource for providers, supporting education, training, communications, and general platform guidance.
• Address contracting or administrative questions and help practices understand how to optimize their auto-approval rates.
• Act as an escalation point for grievances, disagreements with clinical guidelines, and other high-touch needs.

Lead Program Implementation

• Support onboarding and ongoing engagement to ensure providers remain aligned with CMS/state requirements and Cohere workflows.
• Maintain strong working knowledge of regulatory requirements influencing prior authorization and utilization management.
• Partner with Compliance and Legal to surface potential risks or required communications.
• Identify non-adherence or performance trends, then design simple outreach campaigns (email, phone, educational touchpoints) that encourage positive behavior change.
• Share best practices and actionable tips to improve auto-approval performance.
• Ensure all provider interactions uphold HIPAA, privacy standards, and program integrity.
• Use reporting and scorecards to track portfolio health, identify issues, and surface opportunities to improve clinical quality and reduce manual review.
• Lead recurring check-ins, quarterly reviews, practice calls, workflow discussions to help teams improve approval rates and reduce pends/denials.
• Help practices optimize clinical protocols and prior-auth workflows to reduce friction and increase auto-approvals.
• Share relevant thought leadership with key strategic partners.
• Advise practice leadership on how to align Cohere configurations with financial and clinical goals (e.g., bundles, ancillary service alignment).
• Recommend workflow improvements that accelerate review times and ensure compliance with CMS/state DOH obligations.

Support Network Implementations

• Assist with onboarding new client networks and provider groups at scale.
• Manage high-volume provider onboarding initiatives and periodic refresh trainings as new providers join the network.

What you’ll need:

• 3-4 years of experience as an account manager, plus 3+ years of experience in healthcare, health plan, provider, or health tech environments
• Direct experience working in a physician's office, provider practice, or clinical office setting (e.g., office manager, revenue cycle, patient access/claims, or clinic operations)
• Experience working with healthcare programs and direct engagement with provider and/or member populations
• Strong communication skills with the ability to translate policy and process into provider-friendly language
• Relationship-building and negotiation skills, especially in regulated or bureaucratic environments, with a clear and professional communication style
• Analytical mindset for interpreting data on provider engagement, compliance, and performance, with the ability to read and interpret Tableau dashboards and formulate data using Excel/Google Sheets to make informed decisions
• Ability to constantly prioritize a large assigned practice portfolio and independently allocate effort to the highest-impact activities
• A proactive, ownership-driven approach with strong day-to-day problem-solving skills and organizational/time-management ability
• Prior experience managing mid- to large-scale projects
• Familiarity with change management, Medicaid/Medicare environments, managed care models, and prior authorization processes
• Experience with Salesforce or other CRM tools, and Jira and/or Monday.com project management tools
• Experience working with healthcare provider data
• Experience in onboarding program design or user experience optimization
• Passion for contributing to a culture that values consistent delivery of a proactive, supportive, and partner-oriented experience
• Ability to travel up to ~35%

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 14 weeks of paid parental leave

The salary range for this position is $90,000 to $115,000 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*:

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Behavioral Interview(s)

*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.