Senior Payment Solutions Manager
full-time
senior
Posted 1 week ago
About this role
Opportunity Overview:
Cohere is looking for an experienced payment integrity strategist to join our payment solutions team as we seek to expand to new payer clients. You will be a key member of the growth function, leading the process to help prospects develop the strategy and business case for PI transformation.
You will be charged with quickly developing a deep understanding of our customers’ needs and Cohere’s market-leading platform, which includes reimbursement, clinical and technology aspects. You will apply this understanding, together with your creative problem-solving and analytical skills, to support the sales function by developing compelling business cases for complex enterprise software partnerships. Your role as the glue between Cohere’s commercial and operational functions (e.g., product, payment solutions, operations, sales, etc.) will ensure that customer needs/requirements are translated seamlessly to proposals, statements of work, and to the teams charged with implementation.
If you are passionate about deploying innovative data and technology-driven solutions to drive payment accuracy, clinical excellence, and achieve healthcare operational efficiencies, we want to hear from you.
What you will do:
Become an expert on market and technology trends impacting payment integrity and related claim adjudication functions within health plans (e.g., utilization management, value-based care, interoperability, etc.)
Engage with payer executives as a thought partner, advising them on market trends, best practices, and opportunities to drive more business value from their PI function
Serve as a Cohere SME on sales calls with payer executives, capable of leading demonstrations and speaking to the value and differentiation of the Cohere platform
Lead consultative process to help prospects develop the strategy and business case for PI transformation:
Collaborate with sales executives and prospects to understand prospective customers’ business, adjudication, technical, and compliance needs
Collaborate with product, selections, operations, and integrations team to recommend Cohere solutions for the client’s needs
Collaborate with selections team to quantify savings for prospective clients
Prepare executive presentations for prospective customers
Project manage cross-functional proposal / pricing process
Ensure client buy-in and internal sign-off on proposal documents
Draft statements of work to appropriately reflect client requirements and Cohere capabilities
Partner with solution architecture and implementation teams to ensure requirements translate into build plan
Apply expertise to develop thought leadership content that helps clients shape their PI transformation agendas
Contribute to growth function by identifying opportunities to improve our internal processes and deliverables to build a scalable and high impact sales model
What you’ll need:
Your background & Requirements:
Bachelor's degree. Graduate degree in relevant field (e.g., MBA, MPH, etc.) preferred
7+ years of experience in similar role for a payment integrity vendor, health-tech company, healthcare consulting, or health plan
Deep experience selling into, or working with, health insurance plans across different lines of business
Strong understanding of healthcare revenue cycle, claims reimbursement, and payment integrity
Understanding of health plan technology systems and workflows (e.g., core claims platforms, contract systems, claims data, analytics, etc.)
Understanding of claims processing, ICD-10 Coding, and CPT/HCPCS coding
Exceptional verbal and written communications skills
Demonstrated problem-solving and analytical ability. Experience with financial analysis and return on investment modeling
Customer-orientation and start-up ready mindset; comfortable with ambiguity
Highly collaborative and experience participating in team-led sales models
Experience working with cross-functional teams; project management experience a plus
Willing to travel to prospect meetings
Pay & Perks:
💻 Fully remote opportunity with about 15% 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 $140,000 to $160,000 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
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