Opportunity Overview:
We are looking for physicians who have expertise in Urology to deliver on Cohere’s Surgical programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.
Reporting to the Medical Director Utilization Management, and part of the review team that includes non-clinical intake specialists and nurses, 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.
What you’ll do:
- 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
- Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
- 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
Your Background & Requirements:
Must haves:
- Completed US-based residency program in Urology/Urological Surgery
- Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position
- 5+ years of clinical practice beyond residency/fellowship
- 1+ years of managed care utilization review experience
- Membership in national and/or regional specialty societies
- Licensure in MN, ND, or TX is highly desirable - you should be willing to obtain additional state licenses with Cohere's support
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
🏝️ Up to 184 hours (23 days) of PTO per year + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $200,000 to $270,000 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) with Peers
*Subject to change
About Cohere Health:
Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.
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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What the Team is Saying
Cohere Health Compensation & Benefits Highlights
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Leave & Time Off Breadth — Policies indicate PTO of about 23 days per year plus 10 company holidays, with wellness and floating holidays also highlighted on some listings. This breadth is emphasized across official materials and third‑party profiles.
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Parental & Family Support — Offerings include up to 14 weeks of paid parental leave in the U.S., alongside adoption and fertility support. These provisions are consistently presented as part of a people‑first policy set.
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Healthcare Strength — Coverage spans medical, dental, vision, life and disability insurance, plus EAP and mental‑health benefits; transgender health care benefits are also called out. Plan summaries on the benefits portal indicate established carrier options and clear documentation.
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What We Do
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 expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs. Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.
Why Work With Us
Cohere Health brings together a community of healthcare and technology team members, passionate about changing the challenging parts of healthcare. If you enjoy solving challenging problems and learning about healthcare, then Cohere Health is a great career choice.
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Cohere Health Offices
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Employees work remotely.
Cohere employees work from 45 different states throughout the US - Cohere hosts retreats at our headquarters in Boston. ZignaAI, a Cohere Health Company, employees based in Hyderabad, India, work in-office 5 days a week.
