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Cohere Health is a rapidly expanding clinical intelligence firm that leverages advanced AI technology alongside deep clinical expertise to offer patient-specific care solutions. Within just four years, the company's innovative solutions have been adopted by health plans that collectively cover over 15 million lives. During this period, both the company's revenue and workforce have increased fourfold, supported by capital raises amounting to $106 million, thereby positioning Cohere Health for future success. The company has garnered significant recognition through numerous prestigious awards, including the 2023 and 2024 BuiltIn Best Place to Work awards, a placement in the Top 5 LinkedIn™ Startups, TripleTree iAward, and multiple KLAS Research Points of Light awards. Additionally, Cohere Health has been acknowledged on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.
Cohere Health is seeking physicians with a background in Internal Medicine, covering both medical and surgical clinical areas, to contribute to its programs. The role involves determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Physicians in this position will report to the Medical Director of Cohere Health and play a pivotal role in a rapidly growing company that aims to impact millions of patients positively.
The company values individuals who thrive in fast-paced environments, can learn quickly, work independently while being hands-on, and communicate effectively with diverse individuals. Cohere Health promotes a culture of empathy, transparency, kindness, and respect, aligning with its core values and principles. The organization firmly believes that diverse and inclusive teams produce the most significant work and is committed to creating a supportive, growth-oriented environment for everyone.
The role involves supporting the clinical content team in reviewing the company’s clinical decision guidelines and evidence-based literature. Physicians will provide expert input to influence medical care practices and improve patient outcomes. Responsibilities include providing timely medical reviews that meet the company's quality and timeliness standards, conducting peer-to-peer discussions with treating providers, and offering feedback on alternative treatments based on medical necessity criteria and evidence-based research.
Additional duties include accurately documenting all communications and decision-making processes within Cohere's workflow tools, ensuring that members and providers can easily access and understand decisions. The role also involves supporting projects to enhance the team’s clinical expertise and efficiency and contributing to the team’s operational improvements and member/provider experiences.
The role requires the completion of a US-based residency program and fellowship in Internal Medicine. Candidates must hold Board certification as an MD or DO with a current unrestricted state license to practice medicine. Physicians should have a minimum of five years of clinical practice beyond residency or fellowship and must excel in a matrix organization. Comfort with technology and willingness to learn new software tools, along with an understanding of managed care regulatory structures, are essential.
Preferred attributes include two or more years of experience in managed care utilization review and membership in national and regional specialty societies. Cohere commits to assisting employees with obtaining state licenses or registrations as required.
Cohere Health is an Equal Opportunity Employer committed to fostering an environment of mutual respect. Equal employment opportunities are provided to all, underscoring the company's personal commitment to diversity and inclusion. The salary range for this physician role spans from $200,000 to $270,000 annually, contingent upon years of utilization management experience and includes a robust benefits package such as health insurance, 401k, and bonuses. Salary decisions are made based on qualifications, experience level, skillset, and internal alignment.
This job offer was originally published on RemoteOK
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