Medical Director Spine Surgery

Cohere Health; United States; Remote; USD 260,000 - 280,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and 1

Disability insurance

401K with company match

Flexible spending account

Health Savings Account

Flex Time Off

Paid parental leave

Pet insurance

Job summary

Cohere Health is seeking physicians with Orthopedic Spine Surgery expertise to assess medical appropriateness of services using evidence-based guidelines. You will review clinical information, document decisions, and collaborate with intake specialists and nurses in a fast-paced, scalable environment.

The role requires a US residency in Orthopedic/Neurosurgery with a Spine fellowship, board certification, and 5+ years of practice.

Qualifications

• Completed US residency in Orthopedic or Neurosurgery with Spine fellowship.
• Board-certified MD/DO with unrestricted license to practice in the US.
• 5+ years of clinical practice beyond residency/fellowship.

Responsibilities

• Provide timely medical reviews that meet Cohere's quality parameters.
• Make clinical determinations based on evidence-based criteria.
• Document all communications and decisions clearly in Cohere workflow tools.
• Use templates for documenting decisions during case review.
• Meet turnaround times for clinical reviews.
• Conduct peer-to-peer discussions with treating providers to clarify information and explain decisions.
• Demonstrate professionalism and accountability in all interactions.
• Support team projects to build clinical expertise and efficiency.
• Assist with operational improvements and member/provider experience.

Skills

Clinical decision making

Communication

Time management

Collaboration

Education

US-based residency in Orthopedic/Neurosurgery

Fellowship in Spine Surgery

Board certification (MD/DO) with unrestricted license

Tools

EHR systems

Job description

Opportunity Overview:

We are looking for physicians who have expertise in Orthopedic Spine Surgery 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 Managing Medical Director, MSK Spine and Ortho for Cohere Health, and part of the review team that includes non-clinical intake specialists and nurses, this is a critical role in a Series B 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
• Use correct templates for documenting decisions during case review
• 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:

• Completed US-based residency program in Orthopedic or Neurosurgery Surgery and fellowship program in Spine Surgery
• Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position
• 5+ years of clinical practice beyond residency/fellowship
• 1+ years of managed care utilization review experience
• Membership in national and/or regional specialty societies
• Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with Cohere's support

Pay & Perks:

Fully remote opportunity with about 5% 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 + company holidays

Up to 14 weeks of paid parental leave

Pet insurance

The salary range for this position is $260,000 to $280,000 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. This role is not eligible for hire in: AK, CA, CO, HI, NY, or WA.

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 and agentic AI-powered solutions connect health plans' strategic goals and providers' needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum - including policy, prior authorization, payment accuracy, and more - the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

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.

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.