Medical Director, Operations, Ortho/Spine - 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

• Lead a team of Orthopedic Surgery and Spine Surgery Associate Medical Directors responsible for prior authorization clinical reviews and peer-to-peer discussions
• Inspire and motivate team members to perform at their best
• Demonstrated ability to oversee and collaborate with staff
• Proven experience managing a remote workforce and operating efficiently in a virtual environment
• Identify potential problems and points of friction and working to find solutions in order to maximize efficiency and revenue
• Develop and document standard operating procedures
• Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
• Support the clinical guidelines team in developing and reviewing the company’s clinical decision guidelines in conjunction with client guidelines and directives
• Perform timely review of Medical Coverage Policies for our clients
• Participate in internal and external audits of physicians and nurses

Requirements

• Able to multitask and manage tasks to completion on a timely basis and in an organized fashion
• Excels in a matrix organization
• Strong interpersonal, oral and written communication skills
• Ability to work remotely and meet telephonically and/or via video with clinical colleagues and other personnel
• Proficient in using a Mac laptop computer and the Google Workspace of applications
• 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

Benefits

• Competitive salary range of $270,000 to $290,000 annually
• Health insurance
• 401k
• Bonus opportunities
• Supportive and growth-oriented environment
• Recognition as a top workplace
• Opportunity to impact millions of patients
• Work with a diverse and inclusive team
• Professional development opportunities
• Flexible work arrangements