Associate Medical Director
Confirmed live in the last 24 hours
Cohere Health
United States
Experience Level
Desired Skills
Medical, Clinical & Veterinary
  • Completed US-based residency program in Internal Medicine and fellowship program in Cardiology
  • Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position
  • 5+ years of clinical practice beyond residency/fellowship in Internal Medicine or Cardiology
  • Support the clinical development team in reviewing the company’s clinical decision guidelines and evidence based literature
  • Provide expert input on content and programs for influencing physicians in cardiovascular care to improve the quality of patient outcomes
  • Provide timely medical reviews that meet Cohere’s stringent quality and timeliness parameters
  • Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
  • Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision
  • Use correct templates for documenting decisions during case review
  • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
  • Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
  • Support projects specific to building the team's clinical expertise and efficiency, as delegated
  • Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated
Desired Qualifications
  • 1+ years of managed care utilization review experience desirable
  • Membership in national and/or regional specialty societies
  • Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with Cohere's support
  • Able to multitask and manage tasks to completion on a timely basis and in an organized fashion
  • Excels in a matrix organization
  • Excellent communication - written and spoken
  • Comfortable with technology - willing and able to learn new software tools
  • Understanding of managed care regulatory structure and processes
  • Detail-oriented, flexible, and able to work autonomously with little supervision