Medical Director Cardiovascular Medicine

About the role

Cohere Health is seeking a physician with expertise in Cardiology and Vascular medicine to join their team. The role involves supporting the clinical development team, providing expert input on cardiovascular care programs, and conducting timely medical reviews.

Responsibilities

• 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
• Timely medical reviews meeting Cohere’s stringent quality and timeliness 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
• 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

Requirements

• U.S.-based residency in Internal Medicine and fellowship in Cardiology
• Board certification (MD or DO) with an active, unrestricted state medical license; must maintain all required credentials
• 5+ years of clinical practice beyond residency/fellowship in Internal Medicine or Cardiology
• 1+ years of managed care utilization review experience desirable
• Membership in national and/or regional specialty societies
• Licensure in FL, MN, ND, 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
• Excelling in a matrix organization
• Excellent communication - written and spoken
• Able to work autonomously with little supervision
• Understanding of managed care regulatory structure and processes
• Detail-oriented, flexible, and able to work autonomously with little supervision

Qualifications

• Passionate about improving patient outcomes through evidence-based practices
• Experience with managed care systems and clinical decision-making
• Strong interpersonal skills and ability to communicate effectively with various stakeholders
• Ability to work independently and collaboratively in a fast-paced environment

Skills

• Expertise in Cardiology and Vascular medicine
• Strong clinical acumen and decision-making skills
• Knowledge of managed care regulatory structure and processes
• Proficiency in using clinical decision-making tools and software

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
• Pet insurance

Pay & Perks

The salary range for this position is $250,000 to $280,000 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.