Medical Director Orthopedic Surgery

About the role

We are looking for physicians who have expertise in Orthopedic Surgery to deliver on Cohere’s musculoskeletal and orthopedic programs.

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
• Meet the appropriate turn-around times for clinical reviews
• 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

• Completed US-based residency program in Orthopedic Surgery
• Board certification by appropriate specialty board as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position
• 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 - you should be willing to obtain additional state licenses with Cohere's support

Qualifications

• None specified

Skills

• None specified

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

• Salary range for this position is $240,000 to $260,000 annually
• 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.

Interview Process

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Behavioral Interview(s)