Associate Medical Director, Orthopedic Surgery - Remote

Overview

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

In Short

• Provide timely medical reviews that meet Cohere’s stringent quality 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
• Use correct templates for documenting decisions during case review
• Meet the appropriate turn-around times for clinical reviews
• Conduct timely peer-to-peer discussions with treating providers
• Demonstrate the highest level of professionalism, accountability, and service
• Support projects specific to building the team's clinical expertise and efficiency
• Support the team on operational improvements and member/provider experience

Requirements

• Completed US-based residency program in Orthopedic Surgery
• Board certification as an MD or DO with a current unrestricted state license
• 5+ years of clinical practice beyond residency/fellowship
• 1+ years of managed care utilization review experience (preferred)
• Membership in national and/or regional specialty societies (preferred)
• Licensure in AZ, FL, MN, ND, OR, or TX is highly desirable

Benefits

• Health insurance
• 401k
• Bonus