Medical Director Utilization Management (Fully Remote)

• Determine medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.
• Report to the Managing Medical Director in a rapidly scaling company impacting millions of patients.
• Fast-paced environment requiring quick learning, hands-on approach, and effective communication.

Qualifications:

• Completed US-based residency and fellowship in Internal Medicine.
• Board certification as MD or DO with current unrestricted state license.
• 5+ years clinical practice beyond residency/fellowship; managed care utilization review experience desirable.
• 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; Flex Time Off; up to 14 weeks paid parental leave.

Cohere Health

Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. Backed by leading investors and recognized on the Inc. 5000 list, the company fosters a supportive, growth-oriented culture with diverse teams.