Senior Payment Strategy Manager

Cohere Health

3d • $140,000 - $160,000 • Remote

About The Position

Cohere is looking for an experienced payment integrity strategist to join our payment solutions team as we seek to expand to new payer clients. You will be a key member of the growth function, leading the process to help prospects develop the strategy and business case for PI transformation.
You will be charged with quickly developing a deep understanding of our customers’ needs and Cohere’s market-leading platform, which includes reimbursement, clinical and technology aspects. You will apply this understanding, together with your creative problem-solving and analytical skills, to support the sales function by developing compelling business cases for complex enterprise software partnerships. Your role as the glue between Cohere’s commercial and operational functions (e.g., product, payment solutions, operations, sales, etc.) will ensure that customer needs/requirements are translated seamlessly to proposals, statements of work, and to the teams charged with implementation.
If you are passionate about deploying innovative data and technology-driven solutions to drive payment accuracy, clinical excellence, and achieve healthcare operational efficiencies, we want to hear from you.

Requirements

• Bachelor's degree. Graduate degree in relevant field (e.g., MBA, MPH, etc.) preferred
• 7+ years of experience in similar role for a payment integrity vendor, health-tech company, healthcare consulting, or health plan
• Deep experience selling into, or working with, health insurance plans across different lines of business
• Strong understanding of healthcare revenue cycle, claims reimbursement, and payment integrity
• Understanding of health plan technology systems and workflows (e.g., core claims platforms, contract systems, claims data, analytics, etc.)
• Understanding of claims processing, ICD-10 Coding, and CPT/HCPCS coding
• Exceptional verbal and written communications skills
• Demonstrated problem-solving and analytical ability. Experience with financial analysis and return on investment modeling
• Customer-orientation and start-up ready mindset; comfortable with ambiguity
• Highly collaborative and experience participating in team-led sales models
• Experience working with cross-functional teams; project management experience a plus
• Willing to travel to prospect meetings

Responsibilities

• Become an expert on market and technology trends impacting payment integrity and related claim adjudication functions within health plans (e.g., utilization management, value-based care, interoperability, etc.)
• Engage with payer executives as a thought partner, advising them on market trends, best practices, and opportunities to drive more business value from their PI function
• Serve as a Cohere SME on sales calls with payer executives, capable of leading demonstrations and speaking to the value and differentiation of the Cohere platform
• Lead consultative process to help prospects develop the strategy and business case for PI transformation:
• Collaborate with sales executives and prospects to understand prospective customers’ business, adjudication, technical, and compliance needs
• Collaborate with product, selections, operations, and integrations team to recommend Cohere solutions for the client’s needs
• Collaborate with selections team to quantify savings for prospective clients
• Prepare executive presentations for prospective customers
• Project manage cross-functional proposal / pricing process
• Ensure client buy-in and internal sign-off on proposal documents
• Draft statements of work to appropriately reflect client requirements and Cohere capabilities
• Partner with solution architecture and implementation teams to ensure requirements translate into build plan
• Apply expertise to develop thought leadership content that helps clients shape their PI transformation agendas
• Contribute to growth function by identifying opportunities to improve our internal processes and deliverables to build a scalable and high impact sales model

Benefits

• Fully remote opportunity with about 15% travel
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees