Clinical Policy Configuration Specialist

Opportunity Overview: We are seeking a Clinical Policy Configuration Specialist to join our Clinical Operations team. In this role, you will ensure medical coverage policies are accurately configured, maintained, and compliant within Cohere’s platform, directly supporting high-quality, consistent clinical decision-making. You’ll partner closely with clinical experts, product, engineering, and operations teams to optimize policy implementation - making this an opportunity to shape how evidence-based care is delivered at scale. What you’ll do: Configure and maintain medical coverage policies within Cohere’s product platform to ensure accuracy, consistency, and compliance with industry standards. Conduct quality assurance reviews and testing of policy configurations to validate functionality and clinical appropriateness. Monitor updates on medical coverage policies to adjust policies and maintain compliance. Serve as a subject matter expert on medical coverage policies, providing guidance and support to internal teams and customers. Address internal/external customer inquiries and feedback regarding policy configurations, ensuring alignment with payers, providers, and reviewers. Collaborate cross-functionally with clinical experts, product managers, engineers, medical writers, and utilization management reviewers to optimize policy implementation and usability. What you’ll need: 2