Cohere Health · United States · Just now · 0 applicants
NewRemoteFull-timeMiddle
Pay
$70k–$78kListed
Workplace
Remote
Job type
Full-time
Level
Middle
Team: Clinical Operations · Source: jobright · Posted by joined-scrapper
About the role
Cohere Health is hiring a Clinical Training & Quality Specialist to implement quality measurements, analyze performance data, and deliver coaching and training to support Clinical Operations. The role requires an active RN license and experience with coverage determinations, NCQA/CMS standards, and adult learning principles.
What you’ll do
Implement clinical quality measurements
Analyze performance data
Deliver coaching and training
Maintain operational materials
Support workflow changes across Clinical Operations
What you’ll need
Active RN Licensure
2+ years experience in Coverage Determinations in Healthcare
Knowledge of NCQA and CMS standards for Utilization Management Authorization decisions
Understanding of LCD/NCD Coverage Determination
Ability to conduct effective coaching sessions
Proficiency with Google Workspace (Sheets, Docs, Forms)
Original job description
Cohere Health provides clinical intelligence solutions that improve healthcare access, payer-provider collaboration, and care quality. The Clinical Quality and Training Specialist will implement clinical quality measurements, analyze performance data, deliver coaching and training, maintain operational materials, and support workflow changes across Clinical…