Medical Director Spine Surgery

United States. Posted 5 months ago

The role

Physicians with expertise in Orthopedic Spine Surgery will determine the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. This role involves providing clinical determinations and conducting peer-to-peer discussions with treating providers.

What you will do

Provide timely medical reviews that meet quality parameters
Provide clinical determinations based on evidence-based criteria
Document all communication and decision-making in workflow tools
Use correct templates for documenting decisions during case review
Meet appropriate turn-around times for clinical reviews
Conduct timely peer-to-peer discussions with treating providers
Support projects to build clinical expertise and efficiency
Support team on operational improvements

Required qualifications

Completed US-based residency program in Orthopedic or Neurosurgery Surgery
Completed fellowship program in Spine Surgery
Board certification as an MD or DO
Current unrestricted state license to practice medicine
5+ years of clinical practice beyond residency/fellowship
1+ years of managed care utilization review experience
Membership in national and/or regional specialty societies

Nice to have

Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX

Benefits

Medical, dental, vision, life, disability insurance
Employee Assistance Program
401K retirement plan with company match
Flexible spending and health savings account
Flex Time Off
Company holidays
Up to 14 weeks of paid parental leave
Pet insurance

Before you apply

This role is not eligible for hire in: AK, CA, CO, HI, NY, or WA
Preliminary Phone Screening
Meet Hiring Manager
Behavioral Interview(s)

About the company

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs. The company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.