Cohere Health
Medical Director Utilization Management
$240K–$250K
United States · Director · Full-time · Posted Jun 22, 2026
- Experience
- 5+ years of clinical practice beyond residency/fellowship in Internal Medicine; 1+ years of managed care utilization review experience desirable.
- Education
- Completed US-based residency program and fellowship in Internal Medicine.
About the job
Review clinical information and apply evidence-based guidelines to determine the medical appropriateness of services, while supporting clinical content and utilization-review operations.
What you'll do
- Review clinical decision guidelines and literature, and provide expert input to improve clinical content and patient outcomes.
- Make timely, evidence-based medical determinations and document decisions in Cohere workflow tools.
- Conduct peer-to-peer discussions with treating providers and support clinical expertise, operational improvement, and member/provider experience projects.
What they ask for
- Completed US-based residency program and fellowship in Internal Medicine.
- Board-certified MD or DO with a current unrestricted state medical license; must maintain required credentials.
- At least 5 years of Internal Medicine clinical practice beyond residency/fellowship.
- Understanding of managed care regulatory structure and processes; comfortable learning software tools.
Nice to have
- At least 1 year of managed care utilization review experience is desirable; specialty-society membership preferred.
- Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable; willingness to obtain additional state licenses.
Pay
$240,000 to $250,000 annually (base salary)
Model-written summary · the original posting is authoritative