Talent.com
Account Manager, Provider Success
Account Manager, Provider SuccessCohere Health • Syracuse, NY, US
Account Manager, Provider Success

Account Manager, Provider Success

Cohere Health • Syracuse, NY, US
1 day ago
Job type
  • Full-time
Job description

Account Manager, Provider Success

Cohere's Provider & User Management Team is responsible for ensuring consistent delivery of a proactive, supportive, and partner-oriented experience to an assigned portfolio of providers / practices across our health plan-clients' networks. The Account Manager, Provider Success position is a crucial role in our organization.

In this role, you are responsible for managing a defined portfolio of healthcare provider practices and / or health systems in one or more specialty areas. You will serve as the face of Cohere, responding to escalations and questions for your portfolio while incorporating the unique needs of public-sector programs (e.g., Medicaid, Medicare, state-funded initiatives). Additionally, you will play a proactive role in driving positive change in provider clinical practice patterns by implementing a number of outbound educational and intervention-based campaigns designed by your clinical counterparts.

What You'll Do

  • Be the Main Point of Contact

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.
  • Lead Program Implementation
  • 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.
  • Drive Proactive Outreach
  • Identify non-adherence or performance trends, then design simple outreach campaigns (email, phone, educational touch points) 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.
  • Monitor Portfolio Performance
  • 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.
  • Provide Consultative Support
  • 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.
  • Support Network Implementations
  • 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.
  • What You'll Need

  • Bachelor's degree
  • PMP desired but not required
  • Willing and able to travel up to ~30%
  • Strong communication skills with the ability to translate policy and process into provider-friendly language.
  • 5-10+ years of experience in the health solutions industry (e.g. account management, provider relations, client services, network development, or network operations)
  • Direct experience working with government healthcare programs, especially CMS, and engagement with provider and / or member populations
  • Strong relationship-building and negotiation skills, particularly in highly regulated or complex healthcare environments
  • Ability to independently prioritize across a large provider portfolio and focus effort where it has the highest impact
  • Familiarity with Medicare / Medicaid rules, managed care models, and prior authorization processes
  • Proven success managing mid- to large-scale projects in healthcare settings
  • Strong analytical and technical proficiency, including advanced skills in Excel, Access, and other Microsoft applications
  • Experience with CRM systems, BI or analytics tools, provider data, or project management platforms (Salesforce, Tableau, Jira, Monday.com, etc.) is strongly preferred
  • Pay & Perks :

    Fully remote opportunity with about 30% travel

    Medical, dental, vision, life, disability insurance, and Employee Assistance Program

    401K retirement plan with company match; flexible spending and health savings account

    Up to 184 hours (23 days) of PTO per year + company holidays

    Up to 14 weeks of paid parental leave

    Pet insurance

    The salary range for this position is $105,000 to $115,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

    Interview Process :

  • Connect with Talent Acquisition for a Preliminary Phone Screening
  • Meet your Hiring Manager!
  • Behavioral Interview(s)
  • Subject to change
  • About Cohere Health :

    Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

    With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

    Cohere Health's innovations continue to receive industry-wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner Hype Cycle for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

    The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

    We can't wait to learn more about you and meet you at Cohere Health!

    Equal Opportunity Statement :

    Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.

    Create a job alert for this search

    Account Manager • Syracuse, NY, US

    Related jobs
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Solon, New York, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Remote Medical Director

    Remote Medical Director

    HealthCare Support • Syracuse, NY, US
    Remote
    Full-time +1
    Monday–Friday schedule, professional collaboration, and the chance to make a meaningful impact by supporting quality behavioral health care across diverse patient populations.Serve as a key clinica...Show more
    Last updated: 25 days ago • Promoted
    Account Executive

    Account Executive

    Jobot • Syracuse, NY, US
    Full-time
    B2B Account Executive needed ASAP.This Jobot Job is hosted by : John Erwin.Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary : $80,000 - $200...Show more
    Last updated: 30+ days ago • Promoted
    Regional Operations Manager

    Regional Operations Manager

    Verrus • Syracuse, NY, US
    Full-time
    For this role you MUST HAVE experience in Managing Operations for a Multisite Dental Practice.No need to apply if you do not. This role is ideal for a people-focused leader who enjoys developing tea...Show more
    Last updated: 25 days ago • Promoted
    Independent Online Earner - Flexible and Remote

    Independent Online Earner - Flexible and Remote

    Finance Buzz • Tully, New York, US
    Remote
    Temporary
    We’re seeking proactive and independent individuals interested in learning how to earn money online.This opportunity is ideal for those who want a self-directed, flexible way to build extra income....Show more
    Last updated: 30+ days ago • Promoted
    Retail Sales Associate

    Retail Sales Associate

    Verizon • Cicero, NY, United States
    Full-time +1
    A place to share your ideas freely - even if they're daring or different.Where the true you can learn, grow, and thrive.At Verizon, we power and empower how people live, work and play by connecting...Show more
    Last updated: 30+ days ago • Promoted
    Insurance Executive (Hybrid)

    Insurance Executive (Hybrid)

    Marshall+Sterling • Syracuse, New York, United States
    Full-time
    We are seeking a dynamic and results-driven Sales Executive with exceptional communication skills and in-depth knowledge in the commercial insurance industry. This role is ideal for a highly motivat...Show more
    Last updated: 9 days ago • Promoted
    Advanced Practice Provider, APP

    Advanced Practice Provider, APP

    Syracuse Community Health • Syracuse, NY, United States
    Full-time
    Responsible for providing primary health care to center patients within the structure of the family practice model; in addition, serves on committees, discharges administrative responsibilities, at...Show more
    Last updated: 30+ days ago • Promoted
    Customer Delivery Specialist, Sr

    Customer Delivery Specialist, Sr

    CSG • Syracuse, NY, US
    Full-time
    Customer Delivery Specialist Sr.CSG Forte is looking to hire a Customer Delivery Specialist Sr, who will use the CSG product portfolio to maximize the value of associated processes, best practices,...Show more
    Last updated: 1 day ago • Promoted
    Associate Analyst, Provider Configuration

    Associate Analyst, Provider Configuration

    Molina Healthcare • Syracuse, NY, United States
    Full-time
    Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases.Synchroniz...Show more
    Last updated: 30+ days ago • Promoted
    Customer Manager (Natural Channel)

    Customer Manager (Natural Channel)

    Acosta Group • Syracuse, NY, United States
    Full-time
    Are you a dynamic professional with a passion for driving sales and market share growth? Join our team as a.Acosta is a part of Acosta Group a collective of the industrys most trusted retail, marke...Show more
    Last updated: 15 days ago • Promoted
    Account Executive, Upstate New York

    Account Executive, Upstate New York

    Green Thumb Industries • East Syracuse, NY, United States
    Full-time
    You are passionate about this growing industry and want to educate and engage our customers in meaningful ways to increase our brand awareness. Through maximizing sales, effective.You are the perfec...Show more
    Last updated: 3 days ago • Promoted
    Work from Home / Online Opportunity - Part-time with Flexible Scheduling & No Experience Necessary!

    Work from Home / Online Opportunity - Part-time with Flexible Scheduling & No Experience Necessary!

    HomeJobFinder • McGraw, NY
    Remote
    Part-time
    Remote Opportunity : Link Posting Marketing Rep (No Experience Needed!) Are you self-driven, reliable, and ready to earn from anywhere? We’re looking for motivated individuals to jo...Show more
    Last updated: 8 days ago • Promoted
    Remote Manager in Training- CS / Sales

    Remote Manager in Training- CS / Sales

    Global Elite • Syracuse, NY, US
    Remote
    Full-time
    Remote Manager In Training - CS / Sales.Join Our Team as a Sales Manager - Work from Anywhere!.Are you an experienced and motivated individual looking to elevate your career in customer service and s...Show more
    Last updated: 27 days ago • Promoted
    RN Field Clinical Care Manager

    RN Field Clinical Care Manager

    UnitedHealth Group • Syracuse, NY, United States
    Full-time +1
    Virtual Job Fair, on December 2nd, 12 : 00-2 : 00pm EST.SIGN ON BONUS FOR EXTERNAL APPLICANTS.Coverage Area : Central Upstate NY Region. At UnitedHealthcare, we're simplifying the health care experience,...Show more
    Last updated: 14 days ago • Promoted
    Pharmacy Operations Manager

    Pharmacy Operations Manager

    Walgreens • East Syracuse, NY, United States
    Full-time
    Where state and federal laws / regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities. Ensures efficient pharmacy workflow and a positive...Show more
    Last updated: 2 days ago • Promoted
    Special Agent, $40,000 Recruitment Incentive

    Special Agent, $40,000 Recruitment Incentive

    The United States Secret Service • Cicero, NY, United States
    Full-time
    Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. Click apply for complete details on the recruitment incentive detail...Show more
    Last updated: 30+ days ago • Promoted
    Director Revenue Cycle Management

    Director Revenue Cycle Management

    Cleveland Clinic • Syracuse, NY, US
    Full-time
    At Cleveland Clinic Health System, We Believe In A Better Future For Healthcare.And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the ...Show more
    Last updated: 1 day ago • Promoted