Opportunity Overview:

The Strategic Medical Director will report to the VP, Sr Medical Director, Clinical Strategy and be a fundamental physician driver of new 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.

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
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 Specialty Rx program design, strategy, and client-facing discussions
Support the Growth team by traveling as one of our clinical experts (MD) for prospective client meetings and sales opportunities
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:

Completed a US-based residency program, with board certification in Physical Medicine & Rehabilitation (PM&R) strongly preferred. Experience in utilization management, including Durable Medical Equipment (DME) reviews, required.
Experience with post-acute care services (e.g., skilled nursing facilities, inpatient rehabilitation, long-term acute care) and Home Health utilization management strongly preferred.
Board certification as an MD or DO with a current unrestricted state license to practice medicine.
5+ years of clinical practice beyond residency/fellowship.
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.
Strong communication and team management/interpersonal skills.
Strong leadership capabilities and ability to initiate and maintain cross-team relationships.

Pay & Perks:

Fully remote opportunity with about 25% 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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Cohere Health

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