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Clinical Training & Quality Specialist

Cohere Health
Location
United States
Posted
17 days ago
Department
Training & Quality
Salary
$70,000 to $78,000
What they actually want (must-haves)
  • Active RN Licensure
  • 2+ years experience in the process of Coverage Determinations in Healthcare
  • Knowledge of NCQA and CMS standards for Utilization Management Authorization decisions
  • Ability to conduct effective coaching sessions
  • Understanding of Adult Learning Theory and Training
  • Attention to detail
Nice to have
  • Experience identifying performance trends and root causes through data
  • Experience using quality management systems and conducting structured QA audits
  • Experience facilitating coaching sessions and giving constructive feedback
What the job really is

The Clinical Quality and Training Specialist will implement clinical quality measurements and performance improvement data to enhance operational efficiency and quality performance. Responsibilities include auditing clinical decisions, developing coaching sessions, creating SOPs and training materials, facilitating onboarding, and managing QA tasks. The role requires collaboration with various teams to ensure compliance and quality standards are met while also supporting change management and operational continuity.

Benefits
  • 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
  • Flexible Time Off + Company Holidays
  • Up to 14 weeks of paid parental leave
  • Pet insurance
Things to weigh
  • No salary listed, but range provided is $70,000 to $78,000 annually
  • Role involves managing multiple concurrent priorities which may indicate a high workload
  • Position not eligible for hire in CA, NY, WA
Job score4/5
Benefits3/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency5/5

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