Clinical Reviewer, Physician Assistant

About the role

We are looking for a Cardiology Physician Assistant to help deliver on Cohere’s Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Managing Medical Director, Cardiovascular for Cohere Health, this is a critical role in a company that is rapidly scaling to impact millions of patients. 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

• Provide timely medical reviews that meet Cohere’s stringent quality parameters
• Make 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
• Meet the appropriate turn-around times for clinical reviews
• 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
• Clearly communicate with team members

Requirements

• Graduate of an accredited Physician Assistant program
• Current NCCPA certification (PA-C) and active, unrestricted Physician Assistant license in at least one U.S. state
• 3+ years of clinical experience supporting Cardiology
• Utilization management, prior authorization, or medical review experience a plus

Qualifications

• Membership in national and/or regional specialty societies

Skills

• Strong clinical acumen
• Effective communication skills
• Ability to work independently and manage time effectively
• Attention to detail

Benefits

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
• Flex Time Off + company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance

The salary range for this position is $120,000 to $135,000 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.