Cohere Health
Medical Director Utilization Management
United States · Director
Sponsorship not specified$240k-$250kDetected 13 days ago
Agentic AIRecruitingOnboardingResearchCommunicationCollaboration
About the role
- This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives.
- This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.
Responsibilities
- Support the clinical content team in reviewing the company's clinical decision guidelines and evidence based literature
- 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
- 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
- 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
Requirements
- 5+ years of clinical practice beyond residency/fellowship in Internal Medicine
- 1+ years of managed care utilization review experience desirable
- In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role.
Nice to have
- Membership in national and/or regional specialty societies preferred
Compensation
- The salary range for this position is $240,000 to $250,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus.
Benefits
- 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
- 📈 401K retirement plan with company match; flexible spending and health savings account
- 🏝️ Flex Time Off + company holidays
- 👶 Up to 14 weeks of paid parental leave
- The salary range for this position is $240,000 to $250,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus.
- Provide expert input on content for influencing physicians in medical 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 and knowledge of evidence based literature and medical society guidelines
- Use correct templates for documenting medical necessity decisions during case review
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
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This listing is sourced directly from Cohere Health's careers page and normalized into a canonical job model.