HHiring Reality
← Cohere Health

Medical Director Utilization Management

Cohere Health
Location
United States
Posted
18 days ago
Department
Physician Operations
Salary
$240,000 to $250,000
What they actually want (must-haves)
  • Completed US-based residency program and fellowship in Internal Medicine
  • Board certification as an MD or DO with a current unrestricted state license to practice medicine
  • 5+ years of clinical practice beyond residency/fellowship in Internal Medicine
  • Excels in a matrix organization
  • Comfortable with technology and willing to learn new software tools
  • Understanding of managed care regulatory structure and processes
Nice to have
  • 1+ years of managed care utilization review experience
  • Membership in national and/or regional specialty societies
  • Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable
What the job really is

The Medical Director of Utilization Management at Cohere Health will be responsible for determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. This role involves supporting the clinical content team, conducting medical reviews, documenting decisions, and engaging in peer-to-peer discussions with providers. The position is remote-first, requiring occasional travel for onboarding and team meetings.

Benefits
  • Fully remote opportunity with about 10% travel
  • Medical, dental, vision, life, disability insurance, and Employee Assistance Program
  • 401K retirement plan with company match; flexible spending and health savings account
  • Flex Time Off + company holidays
  • Up to 14 weeks of paid parental leave
  • Pet insurance
Things to weigh
  • No specific mention of the technology stack or tools used
  • Fast-paced environment may require quick adaptation to changes
  • Travel required for onboarding and occasional meetings may not suit all candidates
Job score4/5
Benefits3/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency5/5

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