Remote Clinical Quality & Training Specialist

Cohere Health; United States; On-site; USD 70,000 - 78,000; Full time

Benefits offered by this job

Remote work

Healthcare benefits

401K with company match

Flexible Time Off

Parental leave

Pet insurance

Job summary

Cohere Health's Clinical Quality and Training Specialist will join our Training and Quality team to drive clinical quality measurements, scoring, and performance improvement data that boost efficiency while meeting industry standards. You’ll apply expertise to guide training needs across Clinical Operations and contribute to the company's quality initiatives.

Responsibilities include auditing Clinical decisions, turning QA findings into actionable insights, developing coaching sessions, and

Qualifications

• RN licensure required and active.
• Experience with Coverage Determinations in Healthcare (2+ years).
• Familiar with NCQA and CMS Utilization Management standards.
• Ability to coach and train using adult learning theory.
• Strong data analysis and reporting skills.
• Proficiency with Google Workspace; dashboards a plus.
• Experience with QA audits and quality management systems.
• Excellent communication and stakeholder engagement.

Responsibilities

• Audit Clinical decisions against guidelines.
• Translate QA findings into insights for leaders.
• Develop structured coaching sessions based on audit findings.
• Create SOPs, job aids, and training materials.
• Lead onboarding and upskilling for Clinical teams.
• Coordinate QA/training in project implementations.
• Partner with Product, Clinical, Client Services, Operations to validate changes.
• Provide quality performance reporting to Sr Leadership.

Skills

Attention to detail

Verbal and written communication

Data collection and analysis

Problem solving

Planning and organizing

Stakeholder engagement

Coaching and feedback

Adult learning theory

Education

RN Licensure

Tools

Google Workspace

Job description

Cohere Health's Clinical Quality and Training Specialist will join our Training and Quality team to drive clinical quality measurements, scoring, and performance improvement data that boost efficiency while meeting industry standards. You’ll apply expertise to guide training needs across Clinical Operations and contribute to the company's quality initiatives.

Responsibilities include auditing Clinical decisions, turning QA findings into actionable insights, developing coaching sessions, and