Medical Director, Operations, Cardiovascular

Opportunity Overview:

We are looking for a Medical Director who will lead our Cardiology Associate Medical Directors and perform clinical reviews. Reporting to the Senior Medical Director for Cohere Health, and part of the review team that includes non-clinical intake specialists and nurses, this is a critical role 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. This is a permanent remote, full-time position.

What you’ll do:

• Lead and inspire a team of Cardiology Associate Medical Directors performing clinical prior authorization reviews and peer-to-peer discussions.
• Drive operational excellence across a fully remote team, fostering collaboration and accountability.
• Conduct clinical reviews and make evidence-based determinations that meet quality and turnaround standards.
• Engage with treating providers to discuss cases, clarify clinical details, and guide on evidence-based alternatives.
• Partner on the development and review of medical policies and clinical guidelines.
• Maintain up-to-date medical licensure and stay informed on the latest in cardiology care and regulatory guidance.

What you’ll need:

Must-haves:

• Board-certified Cardiologist (MD/DO) with active, unrestricted U.S. medical license
• Completed residency in Internal Medicine and fellowship in Cardiology
• 5+ years of post-training clinical experience
• Strong communicator who thrives in a fast-paced, remote, collaborative environment
• Organized multitasker with excellent attention to detail and follow-through
• Tech-savvy and comfortable learning new digital tools (Google Suite, Mac)
• Solid understanding of managed care processes and regulatory standards

Nice-to-haves:

• Experience in utilization management or payer-side medical review (2+ years ideal)
• Leadership or team management experience
• Familiarity with evidence-based criteria (Milliman, InterQual)
• Membership in specialty societies
• Additional licensure in MN, VA, ND, IL, or TX (or willingness to obtain 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 $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.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, 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.

We can’t 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, it’s personal.

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