Jobs in the United States

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Added 2 mins ago
MI
Manager of EMS Safety & Risk Management
MEDTRANS INC
North Hills, CA
- $80,000 to $90,000 USD / year
The Manager of EMS Safety and Risk Management is responsible for developing, implementing, and maintaining the company’s safety, compliance, and risk management programs. This role combines…
Added 3 mins ago
VP - Real Estate Corporate Banking - Credit Delivery
Truist Bank
Atlanta, GA
…portfolio maintenance activities, data integrity, and client support. Collaborate with deal team to maintain data integrity on existing portfolio and identify credit worthy projects within…
Added 3 mins ago
VP - Real Estate Corporate Banking - Credit Delivery
Truist Bank
Atlanta, GA
…portfolio maintenance activities, data integrity, and client support. Collaborate with deal team to maintain data integrity on existing portfolio and identify credit worthy projects within…
Added 4 mins ago
Site EHS Manager III
Amazon.com Services LLC
Lansing, MI
…operate. We’re seeking a dedicated Workplace Health & Safety (WHS) Manager to help drive this mission forward. As our next WHS Manager, you'll be more than a safety professional – you'll be…
Added 5 mins ago
MT
Principal Account Manager, Hyperscaler
Micron Technology
San Jose
- $142,800 to $287,700 USD / year
JR117343 Principal Account Manager, Hyperscaler
Added 5 mins ago
A
Project Engineer
Actalent
Wildwood, FL
- $31 to $43 USD / hour
Act as a key support resource and development funnel toward future Assistant Project Manager and Project Manager roles.
Added 5 mins ago
A
Project Engineer
Actalent
Wildwood, FL
- $31 to $43 USD / hour
Act as a key support resource and development funnel toward future Assistant Project Manager and Project Manager roles.
Added 5 mins ago
CO
Recreation Supervisor - Ice
CITY OF ASPEN
Aspen, CO
- $33.95 to $50.92 USD / hour
Supervision Exercised and Received: Position works under the general supervision and direction of the Operations Manager.
Added 7 mins ago
DSP-RBT - Back-up Lead - CA
Young Adult Institute, Inc.
United States
Ensures implementation of plans of protective oversight, as well Individual Behavior Support Plans (IBSPs)/ Individualized Program Plans (IPPs) for all people we support.
Added 7 mins ago
RI
Quality Manager
Rivet Industries
San Jose, CA
- $175,000 to $215,000 USD / year
…frontline workers. We are looking for an experienced Quality Manager to build and lead quality across the company, from the first prototype through shipped product in the…
Added 7 mins ago
Specialty Supervisor, Registered Nurse
San Ysidro Health
Chula Vista, CA
Under the direction of the Specialty Ambulatory Care Manager, the Specialty Ambulatory Care Supervisor, RN oversees the daily clinical operations, and patient care activities of assigned…
Added 7 mins ago
Assistant Manager II
Dollar Tree Stores INC
Plano, TX
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant manager II
Dollar Tree Stores INC
Adkins, TX
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Nashville, TN
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Clinton, SC
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Kennett Square, PA
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager II
Dollar Tree Stores INC
Kennett Square, PA
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assitant Store Manager
Dollar Tree Stores INC
Folsom, PA
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Las Vegas, NV
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager II
Dollar Tree Stores INC
Lincoln, NE
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Pearl, MS
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Brunswick, MD
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Miami, FL
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 7 mins ago
Assistant Manager I
Dollar Tree Stores INC
Salida, CO
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 9 mins ago
Senior Campaign Manager
Seeq
Remote, United States
Together with the pod, you'll engage the influencing and buying committees across Operations, Operational Technology (OT), IT, and AI/data throughout the sales cycle. You and the pod share…

Cohere Health

Manager, Clinical Escalations

United States

$116,000 to $125,000 USD / year

Apply on job-boards.greenhouse.io About employer

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Job details

Pay: $116,000 to $125,000 USD / year
Experience: 3+ years of experience in utilization management operations
Posting language: English
Posted: Nov 10, 2026

Original job description

Opportunity Overview:

We are seeking a Manager, Clinical Escalations to join our Clinical Process and Standards team. In this role, you will build and lead Cohere Health's Escalations Program within Clinical Operations. You’ll partner closely with Client Success, Clinical Operations, Compliance, and leadership to ensure provider and/or client escalations are resolved effectively and efficiently while protecting Cohere’s operational integrity and regulatory commitments. The ideal candidate brings strong customer service instincts, a structured approach to program development, and a customer focused presence to effectively manage sensitive escalations.

What you’ll do:

Stand up the Escalations Program: Design and implement a formal escalation framework, including intake processes, triage criteria, severity classifications, tracking mechanisms, and reporting cadences - transitioning this function from the Client Success team into a dedicated program.
Triage and manage client and provider complaints: Serve as the primary point of accountability for all incoming escalations, ensuring each is categorized, assigned, and resolved according to defined workflows.
Ensure follow-up and resolution: Monitor all open escalations to confirm that follow-up actions are performed, completed, and documented. Hold internal teams accountable for timely closure.
Meet mandatory response times: Track and enforce compliance with all regulatory and contractual response time requirements. Proactively flag risks and implement corrective actions when TATs are at risk.
Handle executive escalations with care: Manage high-sensitivity escalations involving executive-level clients or providers with discretion, professionalism, and a solutions-oriented approach.
Escalate proactively within the organization: Ensure Cohere leadership is never caught off guard - provide timely, clear communication to internal leaders on escalations that carry reputational, regulatory, or relationship risk.
Lead and develop the Escalations Analyst: Manage, coach, and support one direct report responsible for escalation tracking, data analysis, and reporting.
Report on escalation trends and performance: Develop dashboards and regular reporting to track escalation volume, resolution rates, TAT compliance, root causes, and trends. Use data to drive continuous improvement.
Collaborate cross-functionally: Partner with Client Success, Clinical Operations, Compliance, Product, Clinical Content, and other teams to address systemic issues surfaced through escalations and improve the overall client and provider experience.
Develop and maintain escalation documentation: Create and maintain standard operating procedures (SOPs), escalation playbooks, and communication templates.

What you’ll need:

Bachelor's degree in healthcare
Active clinical licensure in state of residence (RN, PT/OT/SLP considered)
3+ years of experience in utilization management operations
Experience in external client, provider, and/or member communications
Knowledge of healthcare regulations and accreditation (CMS, Medicaid, JCAHO)
Proficiency with spreadsheet functions, including data analysis and drawing quantitative conclusions
Experience implementing process improvements
Ability to function independently and navigate ambiguity to build a cross-functional program
Strong problem-solving skills with a customer focus
Passion for improving the U.S. healthcare system and helping ensure every patient receives the best care possible
Familiarity with ticketing or project management software (e.g., CRM, JIRA, Monday.com) is a plus
Demonstrated success implementing new programs is a plus
People leadership experience is a plus
Experience managing escalations in a multi-client or multi-health-plan environment is a plus
Familiarity with root cause analysis (RCA) methodologies and corrective action plan (CAP) development is a plus

Pay & Perks:

💻 Fully remote opportunity with about 10% 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

The salary range for this position is $116,000 to $125,000 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 and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

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.

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.

#BI-Remote

Apply on job-boards.greenhouse.io About employer

More about this job

Skills

Regulatory compliance
Leadership
Customer service
Reporting
Communication skills
Data analysis
Process improvement
Documentation
CMS
Problem solving
Project management
Atlassian JIRA
Monday.com
Root cause analysis

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Work requirements

Jobs in the United States