Job Description

Cohere Health is seeking physicians with Internal Medicine expertise to determine the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. This role is critical for a rapidly scaling company focused on impacting patient care and requires a quick learner with strong communication skills.

Responsibilities

• Review clinical decision guidelines
• Provide expert input on content to improve patient outcomes
• Provide timely medical reviews
• Make clinical determinations based on evidence-based criteria
• Document communication and decision-making
• Conduct peer-to-peer discussions with providers
• Maintain professionalism and accountability
• Support team projects and operational improvements

Requirements

• US-based residency and fellowship in Internal Medicine
• Board certification (MD or DO) with unrestricted state license
• 5+ years of clinical practice post-residency/fellowship
• Experience in a matrix organization
• Comfort with technology
• Understanding of managed care regulatory structure
• Detail-oriented and autonomous work ethic
• Managed care utilization review experience desirable
• Licensure in specific states (AZ, FL, MS, NC, ND, OK, OR, TX) desirable

Benefits

• No benefits