About this role
Medical Director Utilization Management at Cohere Health. Location: United States or Boston. Role: reviewing guidelines, providing determinations, conducting consultations Requirements: Completed US residency/fellowship in Internal Medicine, MD or DO board certification, active state medical license, 5+ years clinical practice post-training, B2B managed care knowledge, clinical review experience desirable, comfortable with technology and able to obtain additional state licenses. Category: Healthcare Services - Advanced Practice Seniority: Senior Level Tools: Payment Integrity Suite, Cohere Validate, ZignaAI Certifications: md, do, medical, board Commitment: Full Time Workplace: Remote Languages: English