Cohere Health

Join a Fully Remote Utilization Management Team|Shape Spine Care from Anywhere

United States

$200-280k
full-time
Non clinical

Job Highlights

  • Willing to Pay for Licensing
  • Any State License Accepted
  • No Call Required
  • Make a real impact on patient care—without stepping away from your clinical values. At Cohere Health, we combine cutting-edge AI with deep clinical expertise to ensure patients receive the most appropriate, evidence-based care. As we continue to grow, we’re building a talent pipeline of board-certified cardiologists who may be a strong fit for future physician reviewer roles.

    Why Join Our Talent Network?

    Opportunity Highlights:

    • 🏠 Fully Remote: Work from the comfort of your home with flexible scheduling.
    • ❤️ Meaningful Work: Review utilization management cases within cardiology to ensure clinical appropriateness.
    • 🌍 Broad Impact: Help shape care for over 15 million lives across the country.
    • 🤝 Team Collaboration: Partner with non-clinical intake teams and nurses, reporting to the Medical Director of Operations.
    • 🧠 Continuous Learning: Contribute to projects that enhance clinical operations and impact.
    • 🏆 Award-Winning Culture: Join a mission-driven, innovation-forward organization named a Best Place to Work.

    What You’ll Do (When a Role Becomes Available):

    • Conduct timely remote medical necessity reviews
    • Apply evidence-based criteria and clinical judgment
    • Document decisions using clinical review templates and tools
    • Participate in peer-to-peer calls with treating providers
    • Support ongoing process improvement and ad hoc projects

    Ideal Future Candidate:

    • Board-certified MD or DO
    • Active, unrestricted US medical license
    • Completed US-based residency in Orthopedic or Neurosurgery
    • Completed US-based fellowship program in Spine
    • 5+ years of clinical practice post-training

    💬 Interested in future roles at Cohere Health?

    Let’s connect now. I’d love to set up a quick call to learn more about your background and keep you in mind as future cardiology reviewer opportunities open up.

    About Cohere Health

    Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

    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, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

    Compensation Details

    $200-280k

    The salary range is $200,000 to $280,000 annually. 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.

    Posted September 15, 2025