Job description
We are looking for a Cardiology PA or NP to help deliver on Cohere’s Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.
Reporting to the Managing Medical Director, Cardiovascular for Cohere Health, this is a critical role in a company that is rapidly scaling to impact millions of patients. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives. Training and supervision will be provided.
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.
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
• 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
• Clearly communicate with team members
Requirements
- • Current NCCPA certification (PA-C) OR Nurse Practitioner (FNP) and active, unrestricted license in at least one U.S. state
• 3+ years of clinical experience supporting Cardiology
• Utilization management, prior authorization, or medical review experience a plus
• Membership in national and/or regional specialty societies
Pay & Perks:
💻 Fully remote opportunity with about 5% 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 $120,000 to $135,000 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 operates a platform that supports healthcare partners, and their Service Operations team hires nurses to conduct clinical reviews, manage utilization decisions, and supervise nursing staff. Nurses in these roles review medical necessity, prepare clinical communications to members and providers, oversee RN reviewer teams, and ensure compliance with regulatory and accreditation standards while meeting performance metrics and quality standards.
