Associate Medical Director Cardiology Remote.

Found in: Jooble US O C2 - 2 weeks ago

Boston MA, United States Cohere Health Full time

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Founded in August 2019, we are obsessed with eliminating wasteful friction that patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications. To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles.


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 Medical Director, Cardiology for Cohere Health, this is a critical role in a company that is rapidly scaling to impact millions of patients. 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
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


Support projects specific to building the team's clinical expertise and efficiency, as delegated
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


~1+ years of managed care utilization review experience desirable
~ Able to multitask and manage tasks to completion on a timely basis and in an organized fashion
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

We can't wait to learn more about you and meet you at Cohere Health


Cohere Health is an Equal Opportunity Employer. LI-Remote


#BI-Remote
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