We are looking for physicians who have expertise in Urology to deliver on Cohere’s Surgical programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.

Reporting to the Medical Director Utilization Management, and part of the review team that includes non-clinical intake specialists and nurses, this is a critical role in a company that is rapidly scaling to impact millions of patients. 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’ll do:

  • Provide timely medical reviews that meet Cohere’s stringent quality 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, ensuring a member and provider can easily reference and understand your decision
  • Use correct templates for documenting decisions during case review
  • Meet the appropriate turn-around times for clinical reviews
  • 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
  • Demonstrate the highest level of professionalism, accountability, and service in your 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

Your Background & Requirements:

Must haves:

  • Completed US-based residency program in Urology/Urological Surgery
  • 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

Nice to haves:

  • 1+ years of managed care utilization review experience
  • Membership in national and/or regional specialty societies
  • Licensure in MN, ND, or TX is highly desirable – you should be willing to obtain additional state licenses with Cohere’s support

 

Pay & Perks:

💻 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

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave

🐶 Pet insurance

The salary range for this position is $200,000 to $270,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

 

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