Opportunity Overview:
This is a fantastic opportunity for an outstanding individual to join a rapidly growing digital health company as a Medical Policy Writer. You will work closely with scientific literature researchers, clinical leadership, subject matter experts, and stakeholders to ensure the smooth flow of information, facilitate policy development, and maintain up-to-date medical guidelines. Your role will be crucial in drafting, refining, and finalizing medical policies based on comprehensive scientific evidence.
People 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.
What you’ll do:
Policy Development Facilitation:
- Draft, refine, and finalize medical policy documents.
- Collaborate with scientific literature researchers to incorporate comprehensive scientific evidence into policy drafts.
- Facilitate working sessions to refine and clarify policy drafts.
- Provide feedback and guidance to ensure alignment with organizational goals and standards.
Medical Policy Updates and Maintenance:
- Ensure medical policy definitions are current and accurately reflect the latest medical guidelines.
- Regularly review and update medical policies to incorporate the latest scientific evidence and clinical best practices.
- Handle internal requests, scheduled reviews, and updates.
- Ensure policies are compliant with CMS policies such as NCDs and LCDs.
Stakeholder Engagement and Communication:
- Foster strong relationships with key internal stakeholders, including policy writers, medical directors, and clinical leadership.
- Communicate policy changes and updates effectively to all relevant internal parties.
Quality Assurance and Review:
- Conduct quality checks on policy documents before final approval and publication.
- Ensure consistency and accuracy in all policy documents.
- Implement a robust review process involving internal and external experts to validate policy content.
Training and Development:
- Develop and deliver training sessions for policy writers on best practices and organizational standards.
- Provide ongoing support and mentorship to policy writers to enhance their skills and knowledge.
Documentation and Process Management:
- Maintain comprehensive documentation of policy development processes and procedures.
- Develop and manage a repository for policy documents and related resources.
- Ensure all documentation is up-to-date and accessible to relevant stakeholders.
- Post approved policies in Confluence.
Performance Monitoring and Reporting:
- Track and report on the progress of policy development projects.
- Provide regular updates to senior management on policy status, challenges, and achievements.
- Utilize data and metrics to assess the effectiveness of policies and identify areas for improvement.
What you’ll need:
- Preferred: Bachelors in nursing or advanced degree such as a Master of Science in Nursing, Master of Physician Assistant Studies, or Master’s degree in Public Health, Health Science, Healthcare Administration, etc.
- 3-5 years of experience in medical writing, policy development, or scientific literature research and vetting.
- Familiarity with CMS policies such as NCDs and LCDs.
- Strong organizational and project management skills.
- Excellent communication skills, both written and verbal.
- Ability to manage multiple projects with competing priorities.
- Detail-oriented and enjoy managing simultaneous projects with multiple stakeholders.
- Ability to work well both as part of a team and independently.
- Ability to work independently in a remote work environment with minimal supervision.
- Proficient in using collaboration tools such as Confluence and project management software.
- Utilization review experience 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
🏝️ 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 $85,000 to $100,000 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 Team Interview
- Case Study
- Leadership and Cross-Functional Interviews
*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.
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