Medical Director Therapy
About the Role
We are looking for physicians with expertise in PM&R, Family Practice, Pediatrics, or Internal Medicine to deliver on Cohere’s program by determining the medical appropriateness of services. This role reports to the Managing Medical Director and is critical in a company rapidly scaling to impact millions of patients. This is a fast-paced environment favoring individuals who learn quickly, handle ambiguity, and communicate effectively across diverse backgrounds.
Responsibilities
- Support the clinical content team in reviewing the company’s clinical decision guidelines and evidence-based literature.
- Provide expert input on content to influence physicians in medical care and improve patient outcomes.
- Conduct timely medical reviews meeting Cohere’s quality and timeliness standards.
- Make clinical determinations based on evidence-based criteria, clinical acumen, and medical society guidelines.
- Document all communication and decision-making clearly and accurately in Cohere workflow tools for easy reference by members and providers.
- Use correct templates for documenting medical necessity decisions during case review.
- Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and explain review outcomes, including feedback on alternate treatments based on medical necessity criteria and evidence-based research.
- Demonstrate professionalism, accountability, and service in interactions with Cohere teammates and providers.
- Support projects aimed at building the team's clinical expertise and efficiency.
- Contribute to operational improvements and member/provider experience involving clinical review tasks.
Requirements
- Completed US-based residency program in PM&R, Family Practice, Pediatrics, or Internal Medicine.
- Board certification as an MD or DO with a current unrestricted state license to practice medicine; must maintain credentials to retain the position.
- 5+ years of clinical practice beyond residency/fellowship in the specified specialties.
- Understanding of Therapy programs (PT/OT/SLP) on outpatient and inpatient bases.
- Ability to excel in a matrix organization.
- Comfortable with technology and willing to learn new software tools.
- Understanding of managed care regulatory structure and processes.
- Detail-oriented, flexible, and able to work autonomously with little supervision.
- 1+ years of managed care utilization review experience in Therapy (PT/OT/SLP) highly desirable.
- Licensure in AR, MO, MN, NC, IN, TX, or NE is highly desirable; willingness to obtain additional state licenses with Cohere's support.
Benefits
- Fully remote opportunity with about 5% travel.
- Medical, dental, vision, life, and disability insurance, plus an Employee Assistance Program.
- 401K retirement plan with company match; flexible spending and health savings accounts.
- Flexible Time Off plus company holidays.
- Up to 14 weeks of paid parental leave.
- Pet insurance.
Pay
The salary range for this position is $210,000 - $260,000 annually, as part of a total benefits package including health insurance, 401k, and bonus. Individual pay is based on qualifications, experience level, skillset, and internal alignment.
About Cohere Health
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. The company streamlines payer-provider decision-making across the care continuum—including policy, prior authorization, and payment accuracy—improving collaboration and reducing burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, Cohere has enhanced its platform by launching the Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution operating in near real-time. Cohere’s innovations have received industry recognition, including being named to the 2025 Inc. 5000 list, the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors, Cohere fosters a supportive, growth-oriented environment valuing diverse and inclusive teams.