Strategic Medical Director, MSK
Healthcare AI company automating prior authorization and utilization management.
About Cohere Health
Cohere Health (coherehealth.com) is a Boston healthcare technology company whose AI-driven platform automates prior authorization and care coordination for health plans.
Skills
Candidate Availability
Required and preferred rules are kept separate and reflect the wording in the original posting.
About the Role
You'll report to the VP, Sr. Medical Director Clinical Strategy and act as a key physician driver of new clinical program design, strategy, and innovation, working closely with prospective and current clients as the company rapidly expands. As an internal subject matter expert in one or more clinical specialties, you'll support go-to-market efforts with the Growth team by evangelizing the company's vision and understanding the pain points and needs of health plans, health systems, and ACOs. You'll also collaborate cross-functionally to shape and execute clinical strategy so the company successfully meets those needs using its core technologies and services.
Requirements
- Completed US-based residency program; general medical or surgical training preferred
- 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 Orthopedic Surgery, Spine Surgery, Pain Medicine, or Physical Medicine & Rehabilitation
- 5+ years experience in managed care or clinical strategy at a health plan, healthtech/solutions/services, expert consulting, or related payer-facing roles
- MBA or advanced degree in healthcare-related discipline preferred
- Experience serving as the lead thinker / consulting partner, designing innovative clinical programs and interventions driving value for payers and their members
- Success in building credibility, influence and partnership with key clients
- Executive presence and ability to communicate effectively with partners and clients
- Demonstrated ability to work collaboratively with highly cross-functional teammates and influence internal partner groups
- Strong communication and team management / interpersonal skills
- Strong leadership capabilities and ability to initiate and maintain cross-team relationships
Responsibilities
- Lead the vision and evolution of the company's clinical and digital care management offerings as the clinical subject matter expert
- Utilize market data, consumer research, and patient analytics to spearhead new approaches to effective clinical delivery services
- Provide physician leadership in creating comprehensive research packages investigating clinical areas and strategic partners of interest
- Cultivate external partnerships and vendor relationships as necessary
- Partner with the SVP Clinical Strategy on new projects
- Join WISeR meetings to learn the program during implementation, including guiding rule development and clinical decision processes
- Provide subject matter expertise and leadership in Specialty Rx program design, strategy, and client-facing discussions
- Support the Growth team by traveling as a clinical expert for prospective client meetings and sales opportunities
- Build and expand client relationships by partnering with Growth and Client Experience teams to uncover client pain points and deliver solutions
- Participate in strategic planning for the company's clinical and digital care management strategy
- Provide strategic guidance of utilization management and medical policy programs as necessary
- Monitor performance of launched clinical programs within your specialty area and support continuous improvement
Benefits
- Fully remote opportunity with about 25% 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
