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Salary
$285k – $305k per year
Location
Remote (United States)
Seniority
Architect · 5+ years exp
Overview
Company
Impact
Profile match
Cohere Health is a Boston company founded in 2019 that automates prior authorisation and utilisation management for health insurers. Its models read clinical documentation, apply payer policy and approve routine requests instantly while routing genuinely complex cases to reviewers. The platform is used by national and regional plans to cut turnaround times that have long frustrated physicians and patients.

Opportunity Overview: 

The Strategic Medical Director Inpatient will report to the Managing Medical Director, Clinical Strategy, and be a fundamental physician driver of clinical program design, strategy, and innovation, working closely with prospective and current clients as we rapidly expand. As an internal subject matter expert in one or more clinical specialties, you will support go-to-market efforts with the Growth team by evangelizing Cohere's vision and understanding the pain points and needs of Cohere's clients (i.e., health plans, health systems, & ACOs). You will also collaborate cross-functionally to shape and execute the clinical strategy so that Cohere successfully fills those needs using our core technologies and services. This includes contributing to the development of clinical logic, evaluating policy architecture, and partnering with Product and Engineering teams to translate clinical strategy into technology-enabled solutions.

This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.

What you’ll do:

  • Lead the vision and evolution of the company’s clinical and digital care management offerings as the clinical subject matter expert, in collaboration with colleagues from Clinical Strategy, Analytics, Product Management, Operations, Growth, and other teams
  • Utilize market data, consumer research, and patient analytics to spearhead new approaches to effective clinical delivery services, including the introduction of new technology and integrated paths
  • Physician leader for Inpatient clinical program development in partnership with Cohere teams.
  • Provide physician leadership in the creation of comprehensive research packages, investigating specific clinical areas/offerings and strategic partners of interest to strengthen the offering, then execute on cultivating any external partnerships and/or vendor relationships as necessary
  • Partner with the VP Clinical Strategy and Cohere teams on new projects
  • Provide subject matter expertise and leadership in General Medicine, strategy, and client-facing discussions as needed
  • Support the Growth team by traveling as one of our clinical experts (MD) for prospective client meetings and sales opportunities if needed
  • Build and expand client relationships by partnering with the Growth and Client Experience teams to uncover client pain points, deliver solutions, assign clients to managers as appropriate, and support upsell opportunities (e.g., Sleep programs)
  • Participate in strategic planning for Cohere’s clinical and digital care management strategy
  • Provide strategic guidance of utilization management and medical policy programs/areas as necessary to support the clinical organization
  • Monitor performance of launched clinical programs within your specialty area and support continuous improvement

What you’ll need:

  • Successful completion of an ACGME-accredited residency training program (or AOA approved legacy equivalent.  Internal Medicine or Family Practice training preferred 
  • Active, unrestricted medical license in any US State
  • Active Board certification (ABMS or AOA) in your primary specialty.  
  • 5+ years of clinical practice beyond residency/fellowship, Inpatient experience preferred 
  • 5+ years experience in managed care or clinical strategy at a health plan, healthtech/solutions/services, expert consulting (partner-level), or related payer-facing roles
  • MBA or advanced degree in healthcare-related discipline preferred
  • Experience serving as the lead thinker / consulting partner, designing innovative clinical programs and interventions driving value for payers and their members
  • Success in building credibility, influence and partnership with key clients
  • Executive presence and ability to communicate effectively with partners / clients
  • Demonstrated ability to work collaboratively with highly cross-functional teammates and influence internal partner groups with an understanding of how clinical logic translates into technology-enabled solutions.
  • Strong communication and team management / interpersonal skills
  • Strong leadership capabilities and ability to initiate and maintain cross-team relationships
  • Ability to thrive in a self-directed environment and manage multiple projects simultaneously to meet tight deadlines and deliverables.

Pay & Perks:

Fully remote opportunity with about 10% travel

Medical, dental, vision, life, disability insurance, and 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  

The salary range for this position is $285,000 to $305,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. 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. 

Interview Process*:

  • Connect with Talent Acquisition for a Preliminary Phone Screening
  • Meet your Hiring Manager!
  • Behavioral Interview(s)

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. 

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. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement: 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us, it’s personal.

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