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Clinical Reviewer, OT at Cohere Health. . Location: United States. Opportunity Overview: . . We are looking for a licensed Occupational Therapist (OT) who has expertise in occupational therapy to deliver on Cohere’s therapy programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.. . Reporting to a Managing Medical Director, and part of the review team that includes non-clinical intake specialists and nurses. 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. . . What you’ll need:. . . Master’s degree in Occupational Therapy from an accredited program. . Active, unrestricted Occupational Therapist license in the state of practice. . 5 or more years of direct clinical patient care experience. . . Familiarity with facilities rendering care in PT, OT, SLP. . . . . 1+ years of managed care utilization review experience, preferably in an utilization management organization within a Medicare, Commercial or Medicaid payor organization preferred. . .  . . Pay & Perks:. .  . . 💻 Fully remote opportunity with about x% 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 $95,000 to $105,000 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.. .  . .  . . #LI-Remote. . #BI-Remote