Apply📍 United States
🧭 Full-Time
💸 270000.0 - 295000.0 USD per year
🔍 Healthcare
- Completed US-based residency program in Orthopedic Surgery; Spine surgery fellowship training or extensive clinical experience required
- Board certification as an MD or DO with a current unrestricted state license to practice medicine - must maintain necessary credentials to retain the position
- 5+ years of clinical practice beyond residency/fellowship
- Lead a team of Orthopedic Surgery and Spine Surgery Associate Medical Directors responsible for prior authorization clinical reviews and peer-to-peer discussions
- Inspire and motivate team members to perform at their best
- Demonstrated ability to oversee and collaborate with staff
- Proven experience managing a remote workforce and operating efficiently in a virtual environment
- Identify potential problems and points of friction and working to find solutions in order to maximize efficiency and revenue
- Develop and document standard operating procedures
- Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
- Support the clinical guidelines team in developing and reviewing the company’s clinical decision guidelines in conjunction with client guidelines and directives
- Perform timely review of Medical Coverage Policies for our clients
- Participate in internal and external audits of physicians and nurses
- Participate in recruiting of AMDs as business needs grow
- Participate in developing and implementing of physician training
- Support MSK strategy team focused on Spine strategy. This includes new strategy around site of service, level of care, temporary codes, G&A alignment, policy work and other areas such as reviewer efficiency enhancements, client facing meetings, etc.
- Help to promote and maintain professional relationships or partnerships with Spine medical specialty societies, specifically NASS.
- Be willing to travel as needed for client facing meetings or strategic onsite meetings
- Maintain awareness of any changes in the literature, standard of care, or regulatory guidance impacting the criteria by which the company reviews service requests
- Maintain necessary credentials and immediately informs Cohere of any adverse actions relating to medical licenses and/or board certifications
- Perform other duties as delegated
LeadershipProject ManagementPeople ManagementOperations ManagementCommunication SkillsAnalytical SkillsOrganizational skillsInterpersonal skillsClient relationship managementStrategic thinking
Posted 30 days ago
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