Full-Time

Implementation Manager

Updated on 3/14/2025

Cohere Health

Cohere Health

501-1,000 employees

Automates prior authorization in healthcare

Compensation Overview

$100k - $120kAnnually

+ Bonus

Mid, Senior

Remote in USA

Category
Supply Chain Management
Operations & Logistics
Required Skills
Excel/Numbers/Sheets
PowerPoint/Keynote/Slides
Requirements
  • Bachelor's Degree (BA/BS), strongly preferred
  • 4-6 years of experience in healthcare required, consulting experience preferred
  • Experience working with health plans on implementations, required
  • 25% travel flexibility, required
  • Start-up ready mindset - progress over polish, able to exhibit comfortableness with ambiguity
  • Exceptional communication and interpersonal skills, with demonstrated experience in customer facing roles
  • High level technical knowledge and understanding to be able to liaise with and understand product, development and engineering teams’ tasks
  • Organized and detail-oriented with demonstrated success running an implementation, including project plan definition through execution
  • Intellectually curious, able to self-start solution discovery (exhibits owner mentality)
  • Prior experience and high level of comfort working in PowerPoint (including storytelling via slides), Microsoft Project, Excel, SmartSheet, or another project management tool
  • Familiarity with value based care models, novel care models (e.g., advanced primary care), payer, provider, and digital health trends
Responsibilities
  • Own overall implementation from end to end, both internally and externally with client teams
  • Assist teams in moving from pitch to close by serving in an internal project management capacity
  • Partner with health plan and risk bearing provider clients to successfully launch Cohere Health products within their organization
  • Act as the key liaison between client implementation team and cross functional teams at Cohere to drive day to day implementation activities
  • Project manage and monitor the implementation process, working closely with clients, vendor partners, and Cohere teams
  • Develop and manage a detailed project schedule and work plan, involving all relevant stakeholders and closely monitoring the status of key deliverables
  • Track and report on implementation progress and key risks and issues
  • Refine implementation best practices and create an efficient and repeatable model for future clients
  • Support the creation of a playbook to guide process for implementing with additional customers
Desired Qualifications
  • Fast paced startup experience and ability to quickly ramp up and work with cross functional teams, strongly preferred

Cohere Health improves the prior authorization process in healthcare by offering a platform called Cohere Unify, which automates and streamlines authorization requests. This platform integrates with electronic medical records and uses technologies like optical character recognition, machine learning, and artificial intelligence to speed up decision-making based on health plan policies. Unlike competitors, Cohere Health operates on a Platform-as-a-Service model, allowing health plans to license its platform for internal use. The goal is to make the prior authorization process more efficient, enhancing patient outcomes and reducing costs for healthcare providers and health plans.

Company Size

501-1,000

Company Stage

Late Stage VC

Total Funding

$103.1M

Headquarters

Boston, Massachusetts

Founded

2019

Simplify Jobs

Simplify's Take

What believers are saying

  • Humana expanded its use of Cohere's platform for diagnostic imaging and sleep services.
  • Cohere Health raised $50 million to meet demand for AI-driven prior authorization.
  • Cohere's platform processes 5.5 million authorizations annually, benefiting 15 million members.

What critics are saying

  • Increased competition from AI-driven startups like Abridge threatens market share.
  • Flat deal activity in healthcare IT indicates a challenging investment environment.
  • S32's new General Partner may boost funding for competing healthcare startups.

What makes Cohere Health unique

  • Cohere Health automates prior authorization, reducing delays and administrative burdens.
  • The Cohere Unify platform integrates with EMR and uses OCR for fax submissions.
  • Machine learning and AI enhance decision-making based on health plan policies.

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Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

2%

1 year growth

1%

2 year growth

2%
Cohere Health
Jan 7th, 2025
Built In Honors Cohere in Its Esteemed 2025 Best Places To Work Awards

Built In honors Cohere in its esteemed 2025 Best Places to Work awards.

TechCrunch
Jun 25th, 2024
10 Of The Most Exciting Digital Health Startups Of 2024, According To Vcs

In the post-COVID world, VCs say it’s not as easy to get excited about investing in digital health. Deal activity in healthcare IT was relatively flat in Q1 2024 at 74 total deals, valued at about $1 billion total, up only 3% from the year-ago quarter, according to PitchBook data. Still, promising startups have grabbed investors’ attention this year. TechCrunch spoke with about a dozen healthcare VCs about the companies they think have the most promising future. While recently formed AI-driven startups that are solving staggering administrative challenges in the U.S. healthcare system dominated their recommendations, they also mentioned several slightly older, non-AI-focused businesses.We narrowed their suggestions to the list of names that more than one VC mentioned, which came in at an even 10 companies. VCs discussed with us the companies that were both in their portfolios and not.AbridgeWhat it does: Uses AI to automate medical records based on conversations between doctors and patients.Founded in 2018 by Shiv Rao, a practicing cardiologist, Abridge is an early entrant into the medical note-taking space and one that has secured integration with the all-powerful Epic Systems health records software. Why it’s promising: The Pittsburgh-based startup generates excitement among investors and hospital systems eager to free up physicians’ time spent on note-taking

Hit Consultant
Apr 23rd, 2024
Humana Expands Use Of Cohere Health’S Prior Authorization Platform

Humana Expands Use of Cohere Health’s Prior Authorization Platform. by Syed Hamza Sohail 04/23/2024 Leave a Comment. What You Should Know:–              Cohere Health, a recognized leader in clinical intelligence and prior authorization automation, announced that Humana Inc. (NYSE: HUM) will expand its use of Cohere’s prior authorization platform for diagnostic imaging and sleep services. –              In January 2021, Cohere and Humana began a pilot program in 12 states to improve the prior authorization process for musculoskeletal (MSK) services.Transformative Prior Authorization Solutions: Cohere’s Nationwide Impact on Healthcare Access and Provider SatisfactionThe program effectively decreased turnaround times for prior authorization approvals, boosted provider satisfaction, and improved care delivery for MSK services. This success led to expansion across all 50 states in 2022. In January 2023, Cohere’s solutions were rolled out nationwide, encompassing cardiovascular and surgical services.Cohere’s prior authorization platform expedites the approval process for providers and patients. Its unique combination of real-time analytics and evidence-based clinical intelligence reduces denial rates and facilitates quicker patient access to care.Annually, Cohere handles 5.5 million prior authorizations, benefiting over 15 million health plan members and 420,000 healthcare providers nationwide.“We’re pleased Humana will be utilizing our diagnostic imaging and sleep solutions, further strengthening our strategic and ongoing partnership,” said Siva Namasivayam, Chief Executive Officer of Cohere Health

PR Newswire
Feb 22nd, 2024
S32 Names Dr. Andy Conrad As General Partner

PALO ALTO, Calif., Feb. 22, 2024 /PRNewswire/ -- S32, a leading venture capital firm founded by Bill Maris after building Google Ventures, today proudly announced the appointment of Dr. Andy Conrad, a leader in the application of technology and advanced data science, as General Partner. Dr. Conrad previously held numerous senior roles at Google, having most recently founded and served as the CEO and Executive Chairman of Verily Life Sciences (previously "Google Life Sciences"). He has held positions at GV ("Google Ventures") and X ("GoogleX"), and, during his tenure, worked with DeepMind, Google Cloud, Google AI and other technical and business teams across the Alphabet ecosystem

Bizjournals
Feb 1st, 2024
AI-powered insurance authorizer raised $50M in equity

The Boston startup has raised $106M to date.