Senior Director, Operational Transformation

Opportunity Overview:

The Senior Director of Transformation will lead enterprise-wide initiatives that drive operational efficiency, automation, and process optimization across our operational teams. This role will serve as a strategic thought partner to executive leadership—identifying, designing, and executing transformational programs that enhance scalability, increase automation, reduce waste, and improve outcomes for patients, providers, and partners.

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:

• Strategic Leadership:
• Develop and execute a multi-year transformation roadmap aligned with company growth objectives and digital automation priorities
• Partner with executive leaders to identify and prioritize operations transformation opportunities across clinical, operational, and technology domains
• Manage a team of three direct reports spanning Analyst, Strategic Operations, and Client Operations roles, providing clear direction, coaching, performance management, and professional development support
• Operational Excellence & Automation:
• Lead initiatives to streamline workflows, automate repetitive processes, and optimize resource utilization using AI, RPA (Robotic Process Automation), and advanced analytics
• Partner with technology, data science, and product teams to design scalable automation solutions that enhance productivity and accuracy
• Change Management:
• Drive a culture of continuous improvement through structured change management, training, and stakeholder engagement
• Champion innovation by promoting agile methodologies and empowering cross-functional teams to adopt new tools and processes
• Performance & Impact Measurement:
• Establish KPIs and success metrics for transformation initiatives, ensuring transparency and accountability
• Monitor progress, remove barriers, and deliver measurable ROI tied to efficiency gains and cost savings
• Cross-Functional Collaboration:
• Collaborate closely with Operations, Clinical, IT, Finance, and HR to ensure alignment and integration of transformation efforts
• Serve as an internal consultant and advisor to senior leaders on best practices in automation, process improvement, and organizational transformation

What you’ll need:

• 10+ years of progressive leadership experience in healthcare, health tech, or enterprise operations transformation
• Deep understanding of healthcare workflows, regulatory requirements, and digital transformation best practices
• Proven track record of leading large-scale automation and efficiency programs across complex, matrixed organizations
• Strong analytical and financial acumen with the ability to quantify impact and deliver business value
• Expertise in Lean, Six Sigma, Agile, or similar continuous improvement methodologies
• Exceptional communication, executive presence, and stakeholder management skills
• Bachelor’s degree

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 

🏝️ 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 $170,000 to $190,000 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*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview
4. 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.

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