UM Correspondence Director

Back to jobs New UM Correspondence Director United States Apply Opportunity Overview: Cohere is seeking a UM Correspondence Director to establish and lead a new cross-functional capability responsible for the end-to-end management of all provider and member review communications. This includes the creation, standardization, automation, and quality assurance of all review related communications (including fax, email, letters, phone, VAT) across lines of business. As this is a new function, the Director will serve as both architect and operator—creating structure where ambiguity exists today. They will define governance, metrics, and workflows, while building strong relationships across Compliance, Clinical, Technical Services, Product, and Client Success. This position will provide the strategic vision for communications governance and automation, while also managing the operational details needed to ensure accuracy, compliance, and efficiency. The ideal candidate is equally comfortable presenting strategy to executives and diving deep into operational details—translating business requirements into scalable, technology-enabled processes that meet clinical, regulatory, and client standards. What you’ll do: Strategy & Leadership: Create and guide the Review Communications function, including vision, structure, and standards Build clear governance frameworks to ensure consistent tone, language, and quality Identify opportunities for automation and improved efficiency across communication workflows Provide direction and alignment across key teams involved in the communication process Cross-functional Collaboration: Translate business needs into clear requirements for communication templates, workflows, and tools Partner with Product, Technical Services, Clinical, Compliance, and Vendor teams to deliver accurate, compliant, and scalable communication solutions Work closely with Client Success to address escalations and ensure strong client satisfaction Execution & Oversight: Oversee the end-to-end process for creating, testing, approving, and deploying communications Establish and maintain QA standards to ensure accuracy, audit readiness, and consistency Monitor performance, vendor outcomes, and key quality metrics to drive continuous improvement Mentor teammates and partners to promote transparency, accountability, and high-quality execution What you’ll need: 7+ years of experience in healthcare operations, payer/provider communications, or utilization management 5+ years in a leadership role overseeing multi-disciplinary or matrixed teams Proven track record of building new functions and creating operational structure in ambiguous environments Understanding of healthcare regulatory and accreditation requirements (CMS, NCQA, URAC) Strong ability to translate complex business requirements into clear, actionable specifications for technical and operational teams Experience with automation technologies, letter management systems, and workflow platforms Exceptional communication and stakeholder management skills; able to influence without direct authority Demonstrated success in process improvement, QA, and audit readiness Master’s degree in healthcare administration, business, or related field preferred   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 $150,000 to $165,000 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 Executive Interview *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.     #LI-Remote #BI-Remote Create a Job Alert Interested in building your career at Cohere Health? Get future opportunities sent straight to your email. Create alert Apply for this job * indicates a required field Autofill with MyGreenhouse First Name * Last Name * Preferred First Name Email * Phone Country * Phone * Resume/CV * Attach Attach Dropbox Google Drive Enter manually Enter manually Accepted file types: pdf, doc, docx, txt, rtf Cover Letter Attach Attach Dropbox Google Drive Enter manually Enter manually Accepted file types: pdf, doc, docx, txt, rtf Which of the following best describes your experience in healthcare operations and regulated communications? * Select... Which statement best reflects your leadership experience? * Select... 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