Associate Medical Director, Utilization Management

As an Associate Medical Director, Utilization Management at Cohere Health, you'll be responsible for reviewing clinical information, documenting decision-making, and supporting the clinical content team by providing expert input on clinical guidelines. Your role will focus on ensuring the quality and timeliness of medical reviews while conducting peer-to-peer discussions with providers.

To qualify for the Associate Medical Director, Utilization Management role at Cohere Health, candidates must have completed a US-based residency program and fellowship in Internal Medicine, possess board certification as an MD or DO, and hold a current unrestricted state medical license. A minimum of 5 years of clinical experience post-residency is also required.

Having managed care utilization review experience is preferred for the Associate Medical Director position at Cohere Health, particularly if you have at least 2 years in this field. Familiarity with the managed care regulatory structure will help you excel in this role and contribute to improving patient outcomes.

The salary range for the Associate Medical Director, Utilization Management at Cohere Health is between $200,000 to $270,000 annually. This figure is reflective of experience in utilization management and is part of a comprehensive benefits package, emphasizing our commitment to fair compensation.

Cohere Health fosters a culture of respect, collaboration, and diversity. As an Associate Medical Director, you'll engage with a supportive team that values empathy, creativity, and accountability, offering an exciting environment where your contributions significantly impact patient care.

In your response, highlight your clinical experience, any specialties you have, and how they can provide valuable insights into improving patient care through utilization management. Emphasize your ability to apply clinical acumen in decision-making.

Discuss your strategies for initiating productive conversations, ensuring clarity in your communication, and being open to feedback. Emphasize empathy and professionalism as guiding principles in these discussions.

Share specific guidelines relevant to Internal Medicine that you've used in past clinical decision-making. Explain how they contribute to improved patient outcomes and your dedication to staying updated on the latest research.

Elaborate on any resources, courses, or professional organizations you engage with to remain informed. Highlight your adaptability to new technologies and your eagerness to integrate them into your practice.

Provide a detailed scenario discussing the complexities you encountered, the steps you took to resolve the situation, and the lessons learned that could apply to the Associate Medical Director role at Cohere Health.

Outline your organizational skills, time management techniques, and methods for ensuring accuracy in documentation. This demonstrates your ability to meet the stringent parameters expected at Cohere Health.

Discuss your collaborative approach, your willingness to provide expert knowledge, and how you would engage in discussions about clinical guidelines to support the team’s objectives.

Discuss qualities such as empathy, accountability, and the ability to communicate effectively. Relate these qualities to how they impact patient care and team dynamics.

Share specific experiences demonstrating your adaptability, problem-solving skills, and ability to remain focused on delivering quality patient care despite uncertainties.

Articulate your genuine interest in the company’s mission, growth trajectory, and commitment to improving patient care. Mention how your values align with theirs and your eagerness to contribute to their innovative work.