Associate Medical Director, Podiatry

Cohere Health; United States; Remote; USD 150,000 - 250,000; Full time

Job summary

A healthcare technology company is seeking experienced physicians in Podiatry to conduct clinical reviews and support musculoskeletal programs. Applicants should have completed a CPME-approved residency and hold board certification as a DPM, with at least 5 years of post-residency clinical experience. This role demands professionalism and effective communication skills, all while adhering to quality standards in a rapidly evolving environment.

Qualifications

• 5+ years of clinical practice beyond residency/fellowship.
• Current unrestricted state license to practice podiatry.

Responsibilities

• Provide timely medical reviews that meet quality parameters.
• Conduct peer-to-peer discussions with treating providers.

Skills

Clinical acumen

Effective communication

Professionalism

Accountability

Education

Completed US-based CPME-approved residency program in Podiatry

Board certification by appropriate specialty board as a DPM

Job description

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

Reporting to the Medical Director MSK Orthopedics and Spine for Cohere Health, 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
• 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

What you’ll need:

Must Have’s:

• Completed US-based 3 year CPME-approved residency program in Podiatry
• Board certification by appropriate specialty board as a DPM with a current unrestricted state license to practice podiatry- reviewers must maintain necessary credentials to retain the position
• 5+ years of clinical practice beyond residency/fellowship

Nice to Have’s:

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

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.