Associate Medical Director, Orthopedic Surgery jobs in United States
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Cohere Health · 8 hours ago

Associate Medical Director, Orthopedic Surgery

Cohere Health is a rapidly scaling company focused on improving healthcare collaboration and outcomes. They are seeking an Associate Medical Director in Orthopedic Surgery to deliver on musculoskeletal and orthopedic programs by reviewing clinical information and applying evidence-based guidelines. The role involves providing medical reviews, documenting decisions, conducting peer discussions, and supporting operational improvements.

Consumer SoftwareHealth CareSaaSSoftware
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H1B Sponsor Likelynote

Responsibilities

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

Qualification

Orthopedic SurgeryBoard certificationManaged care utilization reviewClinical practice experienceCommunication skills

Required

Completed US-based residency program in Orthopedic Surgery
Board certification by appropriate specialty board 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

Preferred

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

Benefits

Medical, dental, vision, life, disability insurance, and Employee Assistance Program
401K retirement plan with company match; flexible spending and health savings account
Up to 184 hours (23 days) of PTO per year + company holidays
Up to 14 weeks of paid parental leave
Pet insurance

Company

Cohere Health

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Cohere Health is a SaaS company that focuses on improving the efficiency and effectiveness of healthcare delivery.

H1B Sponsorship

Cohere Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (27)
2024 (21)
2023 (18)
2022 (10)
2021 (7)
2020 (2)

Funding

Current Stage
Late Stage
Total Funding
$186.1M
Key Investors
Temasek HoldingsDeerfield ManagementPolaris Partners
2025-05-14Series C· $90M
2024-02-01Series C· $50M
2021-04-13Series B· $36.1M

Leadership Team

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Siva Namasivayam
Chief Executive Officer
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Robert Shepardson
Chief Financial Officer
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Company data provided by crunchbase