Medical Director Cardiovascular Medicine
Core
Review clinical information to determine medical appropriateness of services using evidence-based guidelines for Cohere's Cardiology program.
Role type
Senior Medical Director (Cardiology)
Builds
Clinical decision guidelines and utilization review programs for payer-provider collaboration
Domain
Healthcare / Cardiology / Managed Care Utilization Review
Required skills
Cardiology expertise, Internal Medicine background, evidence-based guideline application, clinical acumen, managed care regulatory knowledge, state medical licensure, board certification
Preferred skills
Managed care utilization review experience, membership in national/regional specialty societies, additional state licensure (FL, MN, ND, TX)
Technologies
Cohere workflow tools, clinical review software
Responsibilities
Review clinical information and apply evidence-based guidelines, provide expert input on content and programs, conduct timely medical reviews, document decisions accurately, engage in peer-to-peer discussions with providers, support team clinical expertise projects
Seniority
Senior, hands-on IC