Provider Success Manager

Summary

Cohere Health provides AI-powered clinical intelligence solutions that streamline access to quality care and improve payer-provider collaboration. The Provider Success Manager will lead provider and client user onboarding, training coordination, change enablement, outreach, portfolio performance monitoring, and ongoing relationship management while supporting successful adoption and compliance.

Responsibilities

• 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
• 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
• 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

Skills

• Bachelor's degree
• 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
• Ability to travel up to ~35%

Qualifications

Must Haves

• Bachelor's degree
• 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
• Ability to travel up to ~35%

Benefits

• Fully remote opportunity
• Medical, dental, vision, life, disability insurance, and Employee Assistance Program
• 401K retirement plan with company match
• Flexible spending and health savings account
• Flex Time Off + company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance
• Bonus