Company Overview:

Cohere Health is a fast-growing clinical intelligence company thats improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled.  That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

Opportunity Overview:

Clinical intelligence is Coheres north star, and to achieve this we have dedicated physicians within each specialty. We are looking for physicians who have expertise in Radiology/Diagnostic Imaging to determine the strategy and help with the evolution of Coheres clinical offerings as strategic thinkers/executors and subject matter experts. You will be a fundamental driver of new clinical program design, strategy, and innovation.

Reporting to the SVP, Senior Medical Director, Clinical Strategy. 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.

Last but not least: People who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

What You Will Do:

Clinical Credibility/Thought Leadership

• Support Coheres clinical credibility by deepening relationships with current clients and future clients.
• Develop relationships with specialty societies and secure partnerships. Attend annual society meetings and manage quarterly meetings (or more frequent) with society partners. 
• Medical Advisory Board (MAB)
• help recruit new members as needed for new specialties
• Quarterly virtual meetings
• Annual in person meeting (Dallas 1/31/2025) 

• Supporting ad-hoc client requests with partnership of operational MDs (case review, policy questions, audits, etc)
• Support Coheres growth team with prospective clients, engaging with the health plans medical directors during activation phase of implementation.
• Thought leadership, partnering with the marketing team for white papers, content ideation, webinars, specialty society meetings.

Clinical Quality

• Determine provider quality/provider tracks. Ensure the metrics are clinically relevant and fair, consider practice type etc. 
• Use specialty society data, quality metrics when possible. 
• Appropriate use criteria from societies
• Physician input on fast track, supported track, and Motive measures.

Data driven insights/Clinical outcomes

• Partner with Data science-use clinical outcomes to design predictive models to understand good and bad outcomes from procedures/surgeries. These models can help move the patients towards the correct next step on the care path.
• Clinical outcome data will inform Coheres proprietary policies. 
• Provide expert input on trend innovation/programs within specialty area to improve patient outcomes. 

Technology

• Partner with the Clinical Intelligence team to continually improve current rules and develop advanced rules using ML models and AI capabilities.
• Leverage technology to streamline/ improve automation for our internal stakeholders (RN and MD) for high volume reviews (PT) to drive efficiencies.

Clinical Content/Policies

• Leverage society clinical practice guidelines (CPG), appropriate use criteria (AUC) within our policies
• Developing and writing new policies in collaboration with Coheres Clinical Content Team, for existing clinical areas and new clinical areas.
• Consider provider facing website with clinical content, policies, decision tools (society AUC), etc.
• Participate in annual review with the operational physicians, review current literature for recommendations. 
• Obtain feedback from operational physicians around P2P complaints, pain points/policy gaps
• Content library contributions, identify guideline level indications. Physicians must be present at the meeting to sign off on content.
• Responsible for clinically relevant content and discussions at the MAB quarterly and annual meetings. 

Compliance/Regulatory

• Assist compliance team in auditing rule functionality and effectiveness, evaluate PTAs, and audit AAs.
• Follow regulatory changes/guidelines and determine any impact to Coheres current business model. 

Your Background & Requirements:

• Completed US-based residency program in Radiology
• Board certification as an MD or DO with a current unrestricted state license to practice medicine - physicians must maintain necessary credentials to retain the position
• 5+ years of clinical practice beyond residency/fellowship in Radiology
• 5+ years experience in managed care or clinical strategy at a health plan, healthtech/solutions/services, expert consulting (partner-level), or  related payer-facing roles
• 2 years of Utilization Management experience within a health plan or vendor
• MBA or advanced degree in healthcare-related discipline preferred
• Membership in national and/or regional specialty societies, willing to assist Cohere in partnership conversations
• Able to multitask and manage tasks to completion on a timely basis and in an organized fashion
• Excellent communication - written and spoken
• Comfortable with technology - Proficient in Google Docs / Sheets / Slides or Microsoft Word / Excel / PPT, willing and able to learn new software tools
• General understanding of AI/ML
• Detail-oriented, flexible, and able to work autonomously with little supervision
• Executive presence and ability to communicate effectively with partners / clients
• Strong leadership capabilities and ability to initiate and maintain cross-team relationships
• Able to work in a fast paced environment, make decisions quickly and manage a busy calendar that changes frequently
• Willingness to travel

We cant wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement:

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us, its personal.

The salary range for this position is $250,000 to $300,000 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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