Medical Director Cardiovascular Medicine
$250k - $280kCohere Health
Opportunity Overview: We are looking for physicians who have expertise in Cardiology and Vascular medical topics to deliver on Cohere’s Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Managing Medical Director, Cardiovascular for Cohere Health, this is a critical role in a company that is rapidly scaling to impact millions of patients. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives. What you’ll do: * 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
- U.S.-based residency in Internal Medicine and fellowship in Cardiology
- Board certification (MD or DO) with an active, unrestricted state medical
- 1+ years of managed care utilization review experience desirable
- Membership in national and/or regional specialty societies
- Licensure in FL, MN, ND, or TX is highly desirable - you should be willing
- 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
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Behavioral Interview(s)
- LI-Remote
- BI-Remote
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