Remote Clinical Excellence & Training Specialist

Cohere Health; Boston (MA); On-site; USD 70,000 - 78,000; Full time

Benefits offered by this job

Health insurance

401K retirement plan

Parental leave

Flexible spending account

Health savings account

Employee Assistance Program

Bonus program

Job summary

Cohere Health is seeking a Clinical Quality and Training Specialist to join our Training and Quality team. You will implement clinical quality measurements, design training, and support performance improvement to boost operational efficiency and quality standards.

You will translate QA findings into insights for leaders, develop coaching sessions, and create SOPs and readiness materials. Fully remote with light travel and a strong focus on adult learning and stakeholder collaboration.

Qualifications

• Active RN licensure required.
• 2+ years in Coverage Determinations in healthcare.
• Familiar with NCQA and CMS standards.
• Experience coaching and training.
• Strong data collection and analysis skills.
• Proficient with Google Workspace; pivot tables & dashboards a plus.
• Identify performance trends and root causes.
• Experience with QA audits.
• Understand Adult Learning Theory.

Responsibilities

• Audit Clinical decisions against guidelines.
• Translate QA findings into insights for leaders and partners.
• Develop coaching sessions based on audits.
• Create SOPs, job aids, and readiness materials.
• Facilitate onboarding and upskilling for Clinical teams.
• Lead QA/training in project implementations.
• Partner with Product, Clinical, Client Services, and Ops to validate changes.
• Communicate process updates and QA expectations across teams.
• Advise frontline leaders on quality trends and readiness.
• Own multiple priorities with accountability and discretion.
• Step into queues to maintain service levels during high-volume periods.
• Coach team members for improvement against metrics.
• Provide reporting on performance to Sr Leadership.

Skills

QA auditing

Coaching ability

Data analysis

Adult learning

Stakeholder management

QMS familiarity

Communication skills

Education

RN Licensure

Tools

Google Workspace

Job description

Cohere Health is seeking a Clinical Quality and Training Specialist to join our Training and Quality team. You will implement clinical quality measurements, design training, and support performance improvement to boost operational efficiency and quality standards.

You will translate QA findings into insights for leaders, develop coaching sessions, and create SOPs and readiness materials. Fully remote with light travel and a strong focus on adult learning and stakeholder collaboration.