Remote Healthcare Operations Manager Jobs

Opportunity overview

As a growing organization, we have built a team of talented and experienced people who are passionate about helping providers and patients and this is a position that offers the ability to make a substantial impact on the company with rapid growth opportunities. You will be part of a growing payment integrity team.

What you will do:

• Conduct exploratory data analysis (EDA), descriptive statistics, and predictive modeling to identify trends, patterns, and key insights in healthcare claims data.
• Collaborate with data scientists, analysts, and healthcare professionals to understand project requirements, deliver analytical reports, and support decision-making.
• Create clear and compelling data visualizations to communicate findings to stakeholders.
• Assist in preparing high quality technical reports, presentations, and documentation to summarize the results of analyses.

What you bring:

• 5+ years professional healthcare data analytics experience at a company where health outcomes were critical to the mission, preferably a healthcare analytics company or payment integrity organization
• Experience with Amazon AWS cloud platform and QuickSight
• Experience with programming languages (Python, PySpark and/or Spark SQL)
• Strong understanding of Claims and EMR data
• Bachelor's degree in health informatics, public health, biostatistics, economics, or other related field
• Excellent communicator with an ability to effectively engage in a technical conversation oriented to maximize business value
• Is comfortable working in the weeds, but is also comfortable coming up for air and understanding the big picture
• Able to communicate in person and in writing without relying on generative AI

Nice-to-haves

• Familiarity with healthcare payment integrity, claims processing, and compliance frameworks.
• Exposure to tools like Quicksight, Power BI, or similar for communicating insights effectively.

Pay & Perks:

Fully remote opportunity with about 5% 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 $110,000 to $120,000 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.

At Cohere Health, Payment Integrity isn't just about catching errors—it's about transforming how healthcare dollars are spent to ensure accuracy, fairness, and better outcomes for everyone. By combining advanced analytics, clinical expertise, and cutting-edge technology, the team works at the intersection of healthcare and innovation to proactively identify opportunities, reduce waste, and strengthen trust between payers and providers. Joining this mission means being part of a forward-thinking organization that values curiosity, collaboration, and impact—where your work directly contributes to a more efficient healthcare system and helps ensure patients receive the right care at the right time and providers receive the right payment.

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.