Job Description

Cohere is seeking a UM Correspondence Director to establish and lead a new cross-functional capability responsible for managing all provider and member review communications. This role involves creating structure, defining governance, and building relationships across various teams to ensure accuracy, compliance, and efficiency in communications.

Responsibilities

• Create and guide the Review Communications function
• Build governance frameworks for consistent communication quality
• Identify automation opportunities
• Translate business needs into communication requirements
• Oversee the end-to-end communication process
• Establish and maintain QA standards
• Monitor performance and drive continuous improvement
• Mentor teammates

Requirements

• 7+ years of experience in healthcare operations, payer/provider communications, or utilization management
• 5+ years in a leadership role
• Track record of building new functions
• Understanding of healthcare regulatory requirements
• Ability to translate business requirements into specifications
• Experience with automation technologies
• Exceptional communication and stakeholder management skills
• Demonstrated success in process improvement and QA
• Master’s degree preferred

Benefits

• No benefits