Remote Associate Medical Director, Cardiology

Summary

Join Cohere Health, a rapidly growing clinical intelligence company, as a Cardiologist to contribute to our Cardiology program. You will review clinical information, apply evidence-based guidelines to determine medical appropriateness of services, and collaborate with the clinical development team. This critical role requires expertise in Cardiology and Vascular medicine, strong communication skills, and the ability to work independently and within a team. The position offers a competitive salary and benefits package, including health insurance, 401k, and bonus. This is a remote position.

Requirements

• Completed US-based residency program in Internal Medicine and fellowship program in Cardiology
• Board certification 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 in Internal Medicine or Cardiology
• Able to multitask and manage tasks to completion on a timely basis and in an organized fashion
• Excels in a matrix organization
• Excellent communication - written and spoken
• Comfortable with technology - willing and able to learn new software tools
• Understanding of managed care regulatory structure and processes
• Detail-oriented, flexible, and able to work autonomously with little supervision
• Consultant agrees to cooperate fully with Cohere by obtaining state licenses or registrations when requested by Cohere

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
• Provide timely medical reviews that meet Cohere’s stringent quality and timeliness parameters
• Provide 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
• 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

Preferred Qualifications

• 1+ years of managed care utilization review experience desirable
• Membership in national and/or regional specialty societies
• Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with Cohere's support

Benefits

• Health insurance
• 401k
• Bonus