Medical Director, Clinical Informatics

Cohere Health is seeking a Medical Director, Clinical Informatics to join our team of physician leaders, technologists, and data scientists transforming how healthcare decisions are made. This individual will play a critical role in shaping our clinical informatics strategy, working at the intersection of evidence, data science, and clinical policy to enhance the quality, accuracy, and interoperability of our solutions.

As a key medical leader, the Medical Director will serve as a subject matter expert (SME) across data standards, knowledge representation and risk modeling, ensuring that our evidence and policy platform evolves in alignment with industry innovation and emerging clinical best practices.

• →Serve as the clinical and industry SME supporting solutions aimed at improving collaborations between payers and provider, including utilization management, fraud waste and abuse, population health, risk and quality
• →Define and drive the clinical informatics strategy, from knowledge representations to interoperability, that advances Cohere’s evidence and policy platform
• →Translate informatics insights into actionable frameworks for our strategy and policy physician teams
• →Collaborate closely with data science and engineering teams to guide analytics methodology and metric definitions
• →Stay abreast of evolving regulatory standards, medical ontology, and informatics trends to inform platform development
• →Act as a thought partner to cross-functional leadership in the design of scalable, data-driven clinical programs
  

• Board certification in Clinical Informatics
• Completed US-based residency program
• Board certification as an MD or DO with a current unrestricted state license to practice medicine - must maintain necessary credentials to retain the position
• 10+ years experience beyond residency/fellowship
• 5+ years of experience applying clinical informatics to healthcare data, quality improvement, or population health use cases
• Deep understanding of medical terminologies and ontologies (e.g., SNOMED, LOINC, RxNORM, UMLS), interoperability standards (e.g., FHIR, HL7), risk models, and quality measurement frameworks
• Track record of driving data-driven decision making in clinically complex use cases
• Strong collaboration skills and ability to communicate clinical concepts effectively to technical and non-technical stakeholders
• A passion for using data and evidence to improve healthcare delivery and outcomes

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Case Study
4. Behavioral Interview(s)

*Subject to change

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

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, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

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.

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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