Teams at Cohere Health

The Compliance Reporting Program Manager will coordinate compliance and regulatory reporting initiatives, manage workflows, and drive cross-functional collaboration for accurate and timely reporting.

Provide evidence-based medical utilization reviews for orthopedic spine cases, document decisions in Cohere workflows, conduct peer-to-peer provider discussions, meet turnaround and quality standards, and support clinical and operational improvement projects.

Perform evidence-based utilization management reviews, prepare compliant member and provider correspondence, consult with Medical Directors, document clinical determinations, ensure NCQA/CMS regulatory compliance, meet productivity and turnaround targets, support verbal notifications, and drive process improvements.