Cohere Health is simplifying healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience. Our focus is to enable an efficient, transparent patient journey where patient goals are central to decision-making.
We are a mission-driven and fast-growing company obsessed with eliminating the wasteful friction patients and doctors experience, particularly for diagnoses that require expensive procedures or medications. To that end, we build products and services that 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 a dynamic physician leader to drive Cohere’s musculoskeletal and orthopedic strategy and programs. Reporting to the Medical Director of Orthopedics, this is a critical role in a Series A company and an uncommon opportunity to build solutions from scratch that will rapidly scale to impact millions of patients. The impact, experience, and professional growth over the next few years will be unmatched in healthcare.
You should apply if you are an innovative physician who seeks to drive change across the healthcare system. You will collaborate with cross-functional teams that are rapidly building, launching, and iterating solutions. You will work on many levels, from developing clinical strategy to reviewing service requests to providing expert input on product and service design. 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 will do:
- Own Cohere’s strategy and programs for influencing physicians and practices involved in musculoskeletal care to improve patient care across the care continuum, with the focus on elective specialty care
- Support the clinical guidelines team in developing and reviewing the company’s clinical decision guidelines
- Collaborate with clinical and product strategy on Cohere’s value proposition to physicians and practices involved in musculoskeletal medicine
- Work with with service operations and engineering on the design of our solutions
- Work with analytics team to define, track, and measure value
- Maintain awareness of any changes in the literature, standard of care, or regulatory guidance impacting the criteria by which the company reviews service requests
- Coordinate a team of nurses and service operations personnel in review of authorization requests for orthopedic and musculoskeletal treatments
- Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria
- Provide timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions
- Develop a network of physicians to provide an enhanced, specialty specific utilization review experience
- Represent Cohere to external audiences including business development, sales, conferences, and investors
- Create an inclusive, energetic team environment that unleashes our people
- Full time employment with a remote location possible. Salaried position with benefits.
- Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible
- Experience in clinical case reviews and peer to peer evaluations desired
- Completed US-based residency program in Orthopedic Surgery
- Board certified by The American Board of Orthopaedic Surgery
- Membership in national and/or regional medical societies
- M.D. or D.O. with a current, active state medical license
- Licensure in MI, IN, OH, PA, KY, WV, VA, NC, SC, GA, TN, or AL a positive
- 5+ years of experience as a practicing orthopedic physician beyond residency or fellowship including practice in the last 12 months.
- Experience managing other MDs and experience in risk-taking practices desired
We can’t wait to learn more about you and meet you at Cohere Health!