Medical Director Cardiovascular Medicine
Skills
About the Role
You will bring your expertise in Cardiology and Vascular medicine to help determine the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Managing Medical Director, Cardiovascular, you'll play a critical role in a rapidly scaling company impacting millions of patients. You'll need to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives while delivering timely, high-quality medical reviews.
Requirements
- U.S.-based residency in Internal Medicine and fellowship in Cardiology
- Board certification (MD or DO) with an active, unrestricted state medical license; must maintain all required credentials
- 5+ years of clinical practice beyond residency/fellowship in Internal Medicine or Cardiology
- 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 - willing to obtain additional state licenses with Cohere's support
- Able to multitask and manage tasks to completion on a timely basis and in an organized fashion
- 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 supervision
- Agrees to cooperate fully with Cohere by obtaining state licenses or registrations when requested
Responsibilities
- 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
- Use correct templates for documenting decisions during case review
- Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and explain review outcome decisions
- Demonstrate professionalism, accountability, and service in interactions with Cohere teammates and providers
- Support projects specific to building the team's clinical expertise and efficiency, as delegated
- Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated
Benefits
- Fully remote opportunity with about 5% 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